BLC WELLINGTON - JOHNSON CITY LLC
NPI 1750180063
Assisted Living Facility in Johnson City, TN

Q: What is Blc Wellington - Johnson City LLC's NPI number?

The NPI number for Blc Wellington - Johnson City LLC is 1750180063. It was assigned to this organization in the NPPES registry on March 10, 2025. The provider is doing business as Brookdale Johnson City.

Q: What is Blc Wellington - Johnson City LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since March 10, 2025

2003 WATERS EDGE DR, JOHNSON CITY, TN 37604(423) 915-0110 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blc Wellington - Johnson City Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLC WELLINGTON - JOHNSON CITY LLC (NPI 1750180063), doing business as Brookdale Johnson City, is a healthcare organization registered as an assisted living facility in Johnson City, Tennessee and active in the NPI registry since March 2025. The organization lists Anna F.c. Munoz, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1750180063

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBLC WELLINGTON - JOHNSON CITY LLC

Location Address2003 WATERS EDGE DRJohnson City, TN 37604-8319

Mailing Address2003 Waters Edge DrJohnson City, TN 37604-8319 · (423) 915-0110

Phone(423) 915-0110

Organization SubpartNo

Authorized OfficialAnna F.c. MunozAssistant Secretary · (414) 918-5443

Enumeration DateMarch 10, 2025

NPPES CertifiedMarch 10, 2025

✔ NPI 1750180063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

2003 WATERS EDGE DR, Johnson City, TN 37604

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Other Names 1

Doing Business AsBrookdale Johnson City

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY SAUCEMAN OT

Occupational Therapist

2003 WATERS EDGE DR
JOHNSON CITY, TN 37604

Washington County (323) 431-9958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blc Wellington - Johnson City LLC's NPI number?

The NPI number for Blc Wellington - Johnson City LLC is 1750180063. It was assigned to this organization in the NPPES registry on March 10, 2025. The provider is doing business as Brookdale Johnson City.

Where is Blc Wellington - Johnson City LLC located?

Blc Wellington - Johnson City LLC is located at 2003 Waters Edge Dr, Johnson City, TN 37604. The listed phone number is (423) 915-0110.

What is Blc Wellington - Johnson City LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Blc Wellington - Johnson City LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.