Organization Active NPI

Blueridge Health Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1942533708
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BLUERIDGE HEALTH SERVICES LLC
Practice address
9898 Bissonnet St
Suite 530
Houston, TX 77036-8270
Phone
(281) 660-6991
Fax
(713) 271-5353
NPI assigned
Sep 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Mr. Larry Boje
Title
Administrator
Phone
(281) 660-6991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

9898 Bissonnet St
Suite 530
Houston, TX 77036-8270

Mailing address

9898 Bissonnet St
Suite 530
Houston, TX 77036-8270
Phone (281) 660-6991

National Provider Directory

National Provider Directory

Locations

9898 Bissonnet St
Ste 530
Houston, TX 77036
Phone (281) 660-6991

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1942533708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST",
            "address_2": "SUITE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368270",
            "telephone_number": "281-660-6991",
            "fax_number": "713-271-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST",
            "address_2": "SUITE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368270",
            "telephone_number": "281-660-6991",
            "fax_number": "713-271-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUERIDGE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "BOJE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-660-6991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.