Blue Ridge Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1226 Issued in VA

Legal business name

BLUE RIDGE SUPPORT SERVICES, LLC

Practice address

828 Main St
Suite 1103
Lynchburg, VA 24504-1500

Phone

(434) 316-9112

Fax

(434) 316-9244

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Richard Gilman

Title

Executive Director

Phone

(434) 316-9112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1437304151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1159",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 MAIN ST",
            "address_2": "SUITE 1103",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041500",
            "telephone_number": "434-316-9112",
            "fax_number": "434-316-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-316-9112"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge E N T & P S Inc.
• Blue Ridge Home Health Services, LLC
• Blue Ridge Residential Services, LLC
• Blue Ridge Respiratory and Medical
• Blue Ridge Scientific Transport LLC
• Blue Ridge Therapy Associates, Inc
• Blue Ridge Therapy Associates, Inc.
• Blue Ridge Therapy Associates, Inc.
• Blue Ridge Therapy Associates, Inc.
• Jeffrey Boatner, LPC

• Community/Behavioral Health Agency in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.