OrganizationActive
Blc Tavares-Gc,llc
NPI 1568764991 · Assisted Living Facility · Tavares, FL
Blc Tavares-Gc,llc is a Assisted Living Facility organization in Tavares, FL (NPI 1568764991).
Provider details
- NPI number
- 1568764991
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Ohlendorf, Co-President(414) 918-5000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1211 E Caroline St
Tavares, FL 32778-3460
Phone: (353) 343-6464
Fax: (352) 343-2909
Street-level locationGet directions
Mailing address
111 Westwood Pl
Brentwood, TN 37027-5021
Other names (DBA / former)
- Doing business as
- Brookdale Lake Tavares
Registry dates
- Enumerated
- 2010-11-17
- Last updated
- 2015-10-19
Frequently asked questions
- What is Blc Tavares-Gc,llc's NPI number?
- Blc Tavares-Gc,llc's National Provider Identifier (NPI) is 1568764991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blc Tavares-Gc,llc?
- Blc Tavares-Gc,llc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Blc Tavares-Gc,llc located?
- Blc Tavares-Gc,llc's practice location on file with NPPES is 1211 E Caroline St, Tavares, FL 32778-3460.
- What is Blc Tavares-Gc,llc's phone number?
- The practice phone number listed in the NPPES registry for Blc Tavares-Gc,llc is (353) 343-6464.
- Who is the authorized official for Blc Tavares-Gc,llc?
- The authorized official listed on Blc Tavares-Gc,llc's NPPES record is Mark Ohlendorf, Co-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blc Tavares-Gc,llc's NPI active?
- Yes — Blc Tavares-Gc,llc's NPI (1568764991) is active in the NPPES registry as of the last update on 2015-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.