BLC-Edina Park Plaza, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLC-EDINA PARK PLAZA, LLC

Practice address

3330 Edinborough Way
Edina, MN 55435-5256

Phone

(952) 831-4084

NPI assigned

May 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanne Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Edina Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1851083166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145650",
            "telephone_number": "414-918-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 EDINBOROUGH WAY",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355256",
            "telephone_number": "952-831-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC-EDINA PARK PLAZA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Edina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Allan Bjostad
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• Erin Elizabeth Blackwell, APRN
• Blair Blanchette, DNP
• Vanessa Blaney, PT, DPT
• Christine Ann Morrison Bliven, MD
• Donna L Block, M.D.
• Pamela Bloedel, PT
• Bloom ABA Inc
• Aaron Philip Bloom, DO, MSC.

• Assisted Living Facility in Edina, MN
• Providers in Edina, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.