Blue Ridge Senior Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

0000000097 Issued in TN

Legal business name

BLUE RIDGE SENIOR LIVING

Practice address

3683 Highway 421 S
Mountain City, TN 37683-2235

Phone

(423) 727-1222

Fax

(423) 727-5476

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela M Isaacs

Title

Administrator

Phone

(423) 727-1222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1235309634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 HIGHWAY 421 S",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376832235",
            "telephone_number": "423-727-1222",
            "fax_number": "423-727-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3683 HIGHWAY 421 S",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376832235",
            "telephone_number": "423-727-1222",
            "fax_number": "423-727-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-727-1222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "0000000097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Medical Management Corpoartion (Ballad Health Medical Associates)
• Blue Ridge Medical Management Corporation (MSMG Gen Surg MTN)
• Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
• Blue Ridge Medical Management Corporation (MSMG Ortho MTN)
• Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
• Sara Boles, PHARMD
• Boone Drugs Inc (Mountain City Pharmacy)
• Boone Drugs Inc (Mountain City Pharmacy & Healthcare)
• Brightside ABA Inc
• Devon Brown, R.N.

• Adult Care Home Facility in Mountain City, TN
• Providers in Mountain City, TN by specialty
• Adult Care Home Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.