Provider Demographics
NPI:1548806078
Name:BLUE RIDGE PARTNERS IN CARE
Entity Type:Organization
Organization Name:BLUE RIDGE PARTNERS IN CARE
Other - Org Name:BLUE RIDGE PARTNERS IN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:VAN GILDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-773-2676
Mailing Address - Street 1:223 PAYNE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-9021
Mailing Address - Country:US
Mailing Address - Phone:828-773-2676
Mailing Address - Fax:
Practice Address - Street 1:223 PAYNE BRANCH RD
Practice Address - Street 2:
Practice Address - City:BLOWING ROCK
Practice Address - State:NC
Practice Address - Zip Code:28605-9021
Practice Address - Country:US
Practice Address - Phone:828-773-2676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care