Healthcare Provider Details

I. General information

NPI: 1679547053
Provider Name (Legal Business Name): BLUE RIDGE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 N MAIN ST STE 11
MARION NC
28752-6540
US

IV. Provider business mailing address

PO BOX 532588
ATLANTA GA
30353-2588
US

V. Phone/Fax

Practice location:
  • Phone: 828-659-1111
  • Fax: 828-659-1013
Mailing address:
  • Phone: 843-821-8525
  • Fax: 843-821-0982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberHC1326
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberHC1326
License Number StateNC

VIII. Authorized Official

Name: JEFFREY BARNHARD
Title or Position: CEO
Credential: AO
Phone: 727-530-7700