Organization Active NPI

Blue Ridge Care Solutions, LLC.

Doing business as Sentinel Homecare

  • In Home Supportive Care Agency
  • Johnson City, TN
National Provider Identifier
1114411329
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
I000000021323 Issued in TN
Legal business name
BLUE RIDGE CARE SOLUTIONS, LLC.
Doing business as
Sentinel Homecare
Practice address
709 Med Tech Pkwy Ste 2
Johnson City, TN 37604-2643
Phone
(423) 900-8499
Fax
(866) 404-0950
NPI assigned
Jun 20, 2018
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Ms. Hannah Elizabeth Scott
Title
General Manager
Phone
(423) 900-8499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X I000000021323 TN Primary

Addresses

Primary practice location

709 Med Tech Pkwy Ste 2
Johnson City, TN 37604-2643

Mailing address

PO Box 6175
Johnson City, TN 37602-6175
Phone (423) 900-8499

Other identifiers 1

IdentifierTypeStateIssuer
L000000027512OtherTNPSSA LICENSE

Other names 1

  • Sentinel Homecare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sentineltn.com

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
44D2205479Blue Ridge Care Solutions LLC709 Med Tech Pkwy, Suite 2, Johnson City, TN 37604Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Avenues Home Care of Northeast Tennessee2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 N State of Franklin Rd
Ste 10
Johnson City, TN 37604
Phone (423) 220-1266

709 Med Tech Pkwy
Ste 2
Johnson City, TN 37604
Phone (423) 900-8499

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1114411329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6175",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376026175",
            "telephone_number": "423-900-8499",
            "fax_number": "866-404-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MED TECH PKWY STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042643",
            "telephone_number": "423-900-8499",
            "fax_number": "866-404-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE CARE SOLUTIONS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "423-900-8499",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000021323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSSA LICENSE",
            "identifier": "L000000027512",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sentineltn.com",
            "affiliation": "N",
            "address_1": "709 Med Tech Pkwy Ste 2",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376042643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sentinel Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentinel Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.