Provider Demographics
NPI:1609143338
Name:BLUE RIDGE SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:BLUE RIDGE SENIOR SERVICES, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-274-4406
Mailing Address - Street 1:1293 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1952
Mailing Address - Country:US
Mailing Address - Phone:828-274-4406
Mailing Address - Fax:828-274-4106
Practice Address - Street 1:1293 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1952
Practice Address - Country:US
Practice Address - Phone:828-274-4406
Practice Address - Fax:828-274-4106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3917251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health