BLC LODGE AT PAULIN LP
NPI 1215767439
Assisted Living Facility in Santa Rosa, CA

Active since August 02, 2024
2375 RANGE AVE, SANTA ROSA, CA 95403(707) 575-3722 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About BLC LODGE AT PAULIN LP

This page provides the complete NPI Profile along with additional information for Blc Lodge At Paulin Lp, a provider established in Santa Rosa, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1215767439 assigned on August 2024. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Anna Munoz (Assistant Secretary)

NPI
1215767439 Verify this NPI
Provider Name
BLC LODGE AT PAULIN LP
Entity Type
Organization
Location Address
2375 RANGE AVE SANTA ROSA, CA 95403
Location Phone
(707) 575-3722
Mailing Address
2375 RANGE AVE SANTA ROSA, CA 95403
Mailing Phone
(707) 575-3722
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2024
Last Update Date
08-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNA MUNOZ

Authorized Official Title
ASSISTANT SECRETARY
Authorized Official Phone
(414) 918-5443

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

In Home Supportive Care
2375 RANGE AVE
SANTA ROSA, CA 95403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215767439, enumerated as an "organization" on August 02, 2024.

The provider is located at 2375 RANGE AVE SANTA ROSA, CA 95403 and the phone number is (707) 575-3722.

Assisted Living Facility with taxonomy code 310400000X.