Blue Ridge Nutrition Services, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

106901 Issued in GA

Legal business name

BLUE RIDGE NUTRITION SERVICES, INC.

Practice address

3538 Habersham at Northlake
Tucker, GA 30084-4009

Phone

(770) 939-8720

Fax

(770) 938-7288

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dana W Karschner

Title

General Counsel

Phone

(770) 939-8720

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajesh Chatkara, PT

  • Geriatric Physical Therapist
  • Tucker, GA
  • NPI 1578764783
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1912117367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 HABERSHAM AT NORTHLAKE",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844009",
            "telephone_number": "770-939-8720",
            "fax_number": "770-938-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 HABERSHAM AT NORTHLAKE",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844009",
            "telephone_number": "770-939-8720",
            "fax_number": "770-938-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE NUTRITION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "KARSCHNER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "770-939-8720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "106901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000699311A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Blanchard
• Erica L. Bland, MS, CCC-SLP
• Bliss Family Medicine LLC
• Kianna Bloomfield, DMD
• Blossom Works Therapy LLC
• Ashley Nicole Boachie-Adjei, PA
• William Boatwright
• Hanif Boghani, MD
• Donald Hoyt Bohne, D.D.S.
• Kendajah Bolden, RBT

• Parenteral & Enteral Nutrition Supplies (DME) in Tucker, GA
• Providers in Tucker, GA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.