Blue Ridge Living Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-612 Issued in SC

Legal business name

BLUE RIDGE LIVING CENTER, LLC

Practice address

1850 Crestview Rd
Easley, SC 29642-3528

Phone

(864) 859-3236

Fax

(864) 442-9847

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John F. Swift

Title

VP & Cfo

Phone

(864) 269-3725

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1306862875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GRACE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296409088",
            "telephone_number": "864-269-3725",
            "fax_number": "864-295-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CRESTVIEW RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423528",
            "telephone_number": "864-859-3236",
            "fax_number": "864-442-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "864-269-3725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0612 NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Bishe, PT
• Jenna Lynn Bishop, FNP
• Sawsan Bitar, DMD
• Janice B Blanton, LPN
• Blue Ridge Anesthesia Associates
• Roger Dale Boatwright, M.D.
• Brandy Bocchino, MS, CCC-SLP
• Christopher Vincent Bocchino, DC
• David Jefferson Boiter Jr.
• Bon Secours Mercy Health Virtual Care LLC

• All providers in Easley, SC
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.