NPIMap

Organization Active NPI

Hospice & Palliative Care of the Blue Ridge Inc

  • Exclusive Provider Organization
  • Spruce Pine, NC
National Provider Identifier
1023084399
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
HOS0832 Issued in NC
Legal business name
HOSPICE & PALLIATIVE CARE OF THE BLUE RIDGE INC
Practice address
236 Hospital Dr
Spruce Pine, NC 28777-8944
Phone
(828) 765-5677
Fax
(828) 765-5680
NPI assigned
Feb 27, 2006
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Meadows Williams
Title
Cfo
Phone
(828) 765-5677

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Exclusive Provider Organization 302F00000X HOS0832 NC Primary
Respite Care 385H00000X

Addresses

Primary practice location

236 Hospital Dr
Spruce Pine, NC 28777-8944

Mailing address

236 Hospital Dr
Spruce Pine, NC 28777-8944
Phone (828) 765-5677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120409000594 NC Part A Provider - Hospice 6103087762 Practice locations: Spruce Pine, NC
O20140722001098 NC Part B Supplier - Clinic/Group Practice 6103087762 Receives reassigned benefits from 6 practitioners
Practice locations: Spruce Pine, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023084399. Details of each certification follow.

Hospice certification: CCN 341565

Legal name
HOSPICE & PALLIATIVE CARE OF THE BLUE RIDGE INC
Doing business as
HOSPICE OF MITCHELL COUNTY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 9, 1993
Last certification
Nov 23, 2013
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Sep 8, 1997 in NC
Enrollment address
236 Hospital Dr
Spruce Pine, NC 28777-8944

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice & Palliative Care of the Blue Ridge, IncCCN 341565 · All quality measures
Ownership
Non-Profit
Certified
Aug 9, 1993
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2144776Hospice and Palliative Care of the Blue Ridge236 Hospital Drive, Spruce Pine, NC 28777Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christina H Jenkins Individual 5% Or Greater Direct Ownership InterestCeo Jun 1, 2012
Corporate DirectorCeo Jun 1, 2012
Sheila Williams Individual Corporate OfficerChief Financial Officer ( Cfo) Jun 1, 2015
W-2 Managing EmployeeChief Financial Officer (Cfo) Jun 1, 2015
Operational/Managerial ControlChief Financial Officer ( Cfo) Jun 1, 2015

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

Affiliated clinicians 23

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1023084399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287778944",
            "telephone_number": "828-765-5677",
            "fax_number": "828-765-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287778944",
            "telephone_number": "828-765-5677",
            "fax_number": "828-765-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE & PALLIATIVE CARE OF THE BLUE RIDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "MEADOWS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-765-5677"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "HOS0832",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spruce Pine, NC

Sources for this page

Verify at the official NPI Registry.