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General NPI Number Information
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NPI Number | 1023084399
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Entity Type | Organization
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Legal Business Name | HOSPICE & PALLIATIVE CARE OF THE BLUE RIDGE INC
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 236 HOSPITAL DR
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City | SPRUCE PINE
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State | NC
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Zip | 28777-8944
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Country | US
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Telephone | 828-765-5677
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Fax | 828-765-5680
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Provider Business Mailing Address
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Address Line | 236 HOSPITAL DR
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City | SPRUCE PINE
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State | NC
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Zip | 28777-8944
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Country | US
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Telephone | 828-765-5677
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Fax | 828-765-5680
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Authorized Official
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Title or Position | CFO
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Name | SHEILA MEADOWS WILLIAMS
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Credential |
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Telephone | 828-765-5677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | HOS0832
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License Number State | NC
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