Blue Ridge Healthcare Windwood LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLUE RIDGE HEALTHCARE WINDWOOD LLC

Practice address

3312 Woodley Rd
Montgomery, AL 36116-3155

Phone

(334) 288-2780

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Administrator Administrator

Title

Administrator

Phone

(334) 288-2780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1710499819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 WOODLEY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163155",
            "telephone_number": "334-288-2780",
            "fax_number": "334-288-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 WOODLEY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163155",
            "telephone_number": "334-288-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE WINDWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "ADMINISTRATOR",
        "authorized_official_first_name": "ADMINISTRATOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-288-2780"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M. Blevins, O.T.
• Kimberly Blocton
• Bloom and Blossom LLC.
• Blue Ridge Healthcare Camellia LLC
• Blue Ridge Healthcare Montgomery LLC
• BML Transportation Services LLC
• BNZ Healthcare and Traing Center LLC
• Boatnerwerks (Medicine Shoppe)
• Katherine Jane Bodiford, M.D.
• Kent Delos Bodily, PH.D., BCBA

• Skilled Nursing Facility in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.