Organization Active NPI

Blue Ridge Independence at Home

  • PACE Provider Organization
  • Winchester, VA
National Provider Identifier
1720757248
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
BLUE RIDGE INDEPENDENCE AT HOME
Practice address
333 W Cork St Unit 405
Winchester, VA 22601-3876
Phone
(540) 313-9200
Fax
(540) 678-0772
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Cheryl Ringer, CFO
Title
Chief Financial Officer
Phone
(540) 313-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

333 W Cork St Unit 405
Winchester, VA 22601-3876

Mailing address

333 W Cork St Unit 405
Winchester, VA 22601-3876
Phone (540) 313-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1720757248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W CORK ST UNIT 405",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013876",
            "telephone_number": "540-313-9200",
            "fax_number": "540-678-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST UNIT 405",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013876",
            "telephone_number": "540-313-9200",
            "fax_number": "540-678-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE INDEPENDENCE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "RINGER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "540-313-9200",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.