NPIMap

Organization Active NPI

BLR, Inc.

Doing business as Heritage Inn of Statesboro

  • Durable Medical Equipment & Medical Supplies
  • Statesboro, GA
National Provider Identifier
1750370888
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1016601 Issued in GA
Legal business name
BLR, INC.
Doing business as
Heritage Inn of Statesboro
Practice address
307 Jones Mill Rd
Statesboro, GA 30458-4765
Phone
(478) 783-4988
NPI assigned
Oct 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Coley
Title
Medicare Part B Coordinator
Phone
(478) 783-4988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1016601 GA Primary

Addresses

Primary practice location

307 Jones Mill Rd
Statesboro, GA 30458-4765

Mailing address

440 Industrial Blvd
P.O. Box 1033
Hawkinsville, GA 31036-2106
Phone (478) 783-4988

Other names 1

  • Heritage Inn of Statesboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BLR Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750370888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 INDUSTRIAL BLVD",
            "address_2": "P.O. BOX 1033",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310362106",
            "telephone_number": "478-783-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 JONES MILL RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584765",
            "telephone_number": "478-783-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MEDICARE PART B COORDINATOR",
        "authorized_official_telephone_number": "478-783-4988"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "1016601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Inn of Statesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.