Blue Ridge Independent Living Center Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLUE RIDGE INDEPENDENT LIVING CENTER INC

Practice address

1502 Williamson Rd NE Ste B
Roanoke, VA 24012-5100

Phone

(540) 342-1231

Fax

(540) 342-9505

NPI assigned

Dec 23, 2008

Organization subpart

No

Name

Mrs. Karen B Michalski-Karney

Title

Executive Director

Phone

(540) 342-1231

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2008.

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1356587331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WILLIAMSON RD NE STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125100",
            "telephone_number": "540-342-1231",
            "fax_number": "540-342-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 WILLIAMSON RD NE STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125100",
            "telephone_number": "540-342-1231",
            "fax_number": "540-342-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE INDEPENDENT LIVING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "MICHALSKI-KARNEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-342-1231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087429103",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087419724",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154630583",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Behavioral Healthcare
• Blue Ridge Digestive Health, LLC
• Blue Ridge Echo LLC
• Blue Ridge Echo, LLC
• Blue Ridge Healthcare Partners, LLC
• Blue Ridge Mind and Wellness
• Blue Ridge Mind and Wellness PLLC
• Blue Ridge Optical
• Blue Ridge Optical
• Blue Ridge Optical

• All providers in Roanoke, VA
• Case Management Agency in Virginia

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