Blue Ridge Healthcare Selma LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLUE RIDGE HEALTHCARE SELMA LLC

Practice address

11 Bell Rd
Selma, AL 36701-6793

Phone

(334) 874-7425

NPI assigned

Oct 30, 2017

Last updated

Mar 25, 2019By the provider in NPPES

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) 874-7425

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": "1912419011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BELL RD",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BELL RD",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016793",
            "telephone_number": "334-874-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE SELMA 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": "334-874-7425"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Belt Medical Inc.
• John C. Blackenburg, O.D.
• Melissa L Blackmon, OT
• Donald W Blanton, PHD
• Garrett Blanton
• Sean Brian Bohannon, M.D.
• Caleb Bonner, OTR
• Julie W Bowline, OT
• Yasmeen Antheana-Neshaygreen Brenson
• Raymond Neil Brignac, M.D.

• Skilled Nursing Facility in Selma, AL
• Providers in Selma, 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.