Blue Ridge Nursing Center of Martinsville and Henry County Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2510 Issued in VA

Legal business name

BLUE RIDGE NURSING CENTER OF MARTINSVILLE AND HENRY COUNTY INC.

Doing business as

Blue Ridge Rehab

Practice address

300 Blue Ridge St
Martinsville, VA 24112-7261

Phone

(276) 638-8701

Fax

(276) 638-2017

NPI assigned

May 23, 2005

Last updated

Dec 23, 2010By 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. Dorene M. Ford

Title

Director of Mis

Phone

(239) 963-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blue Ridge Rehab Doing business as

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1265435333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 HORSESHOE DR S",
            "address_2": "STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046144",
            "telephone_number": "239-963-3400",
            "fax_number": "239-963-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BLUE RIDGE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241127261",
            "telephone_number": "276-638-8701",
            "fax_number": "276-638-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE NURSING CENTER OF MARTINSVILLE AND HENRY COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "DORENE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF MIS",
        "authorized_official_telephone_number": "239-963-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952812",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.