Blue Ridge of Sumter LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLUE RIDGE OF SUMTER LLC

Practice address

1761 Pinewood Rd
Sumter, SC 29154-9056

Phone

(803) 481-8591

Fax

(803) 481-8601

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Facility Administrator

Title

Administrator

Phone

(803) 481-8591

Specialties & licenses 1

Addresses

Other names 1

• Blue Ridge of Sumter Doing business as

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1770973455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 PINEWOOD RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291549056",
            "telephone_number": "803-481-8591",
            "fax_number": "803-481-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 PINEWOOD RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291549056",
            "telephone_number": "803-481-8591",
            "fax_number": "803-481-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE OF SUMTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "ADMINISTRATOR",
        "authorized_official_first_name": "FACILITY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-481-8591"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge of Sumter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge of Sumter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jalante Blair
• Larry Blanding
• Rhonda Lucretia Blanding
• Blue Heron Counseling
• Blue Heron Counseling
• BNT Transportation Service LLC
• Agartha Ajoa Boateng, MSW,CAC 1
• Stephen Cole Boatwright
• Cayetana Bolster
• Brooke Bond, M.D.

• Skilled Nursing Facility in Sumter, SC
• Providers in Sumter, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.