Organization Active NPI

Blue Ridge Home Health Care LLC

  • In Home Supportive Care Agency
  • Fairfax, VA
National Provider Identifier
1114727716
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUE RIDGE HOME HEALTH CARE LLC
Practice address
3060 Williams Dr Ste 3077
Fairfax, VA 22031-4667
Phone
(571) 491-8361
NPI assigned
Mar 14, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Irma Rosa Juarez EscalanteNPI 1083220669
Title
Admin
Phone
(571) 491-8361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3060 Williams Dr Ste 3077
Fairfax, VA 22031-4667

Mailing address

3060 Williams Dr Ste 3077
Fairfax, VA 22031-4667

National Provider Directory

National Provider Directory

Locations

3060 Williams Dr
Ste 3077
Fairfax, VA 22031
Phone (571) 491-8361

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1114727716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 WILLIAMS DR STE 3077",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 WILLIAMS DR STE 3077",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314667",
            "telephone_number": "571-491-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "JUAREZ ESCALANTE",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "571-491-8361"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.