Healthcare Provider Details

I. General information

NPI: 1013980929
Provider Name (Legal Business Name): BLUE RIDGE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

189 OAK AVE
SPRUCE PINE NC
28777-2719
US

IV. Provider business mailing address

PO BOX 532588
ATLANTA GA
30353-2588
US

V. Phone/Fax

Practice location:
  • Phone: 828-765-5731
  • Fax: 828-765-8111
Mailing address:
  • Phone: 843-821-8525
  • Fax: 843-821-0982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberHC1181
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberHC1181
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number07302
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY BARNHARD
Title or Position: CEO
Credential: AO
Phone: 727-259-2255