BLUE RIDGE HOME HEALTH CARE SERVICES INC (NPI# 1598193930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598193930 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HOME HEALTH CARE SERVICES INC |
| Other Organization Name | BLUE RIDGE HOME HEALTH CARE SERVICES |
| Practice Address |
1310 W Roosevelt Blvd Philadelphia PA 19140-2033 |
| Practice Telephone | 2154574950 |
| Practice Fax Number | 2153298808 |
| Mailing Telephone | 2154574950 |
| Mailing Fax Number | 2153298808 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | MR. TUNJI ISAAC OGUNMOLA (PRESIDENT) |
| Authorized Official Telephone | 2154574950 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 04800501 | PA | Agencies |
| N | 251E00000X | Home Health | 23033601 | PA | Agencies |
| N | 251J00000X | Nursing Care | 04800501 | PA | Agencies |
| N | 253Z00000X | In Home Supportive Care | 04800501 | PA | Agencies |
| N | 253Z00000X | In Home Supportive Care | 23033601 | PA | Agencies |
| Y | 251E00000X | Home Health | 04800501 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HOME HEALTHCARE LICENSE | 04800501 | 01 |
| PA | 102817836 | 05 | |
| PA | HOME CARE LICENSE | 23033601 | 01 |
| Other Name | Type Code |
|---|---|
| Blue Ridge Home Health Care Services | Doing Business As Name - Organization |
| Street Address |
1310 W ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131256 | Shane Fletcher | Early Intervention Provider Agency | 1310 W Roosevelt Blvd, Philadelphia, PA 19140-2033 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174585 | Reputable Solutions Homecare LLC | Home Health | 1005 E Price St, Philadelphia, PA 19138-1806 | 2020-11-06 |
| 1326649799 | Joined Hands Homecare LLC | Home Health | 3728 Lankenau Rd, Philadelphia, PA 19131-2817 | 2020-11-03 |
| 1558962951 | Wilson and Gray Home Care Services LLC | Home Health | 5119 Chester Ave, Philadelphia, PA 19143-4347 | 2020-11-03 |
| 1639779457 | Sisters and Brothers Homecare Agency LLC | Home Health | 2439 S Milan St, Philadelphia, PA 19153-1418 | 2020-10-30 |
| 1831799709 | Kings Health Care, LLC. | Home Health | 5000 Lancaster Ave, Philadelphia, PA 19131-4551 | 2020-10-29 |
| 1316547318 | Brian's Home Care | Home Health | 1103 Princeton Ave, Philadelphia, PA 19111-4232 | 2020-10-28 |
| 1831799147 | All Loving Caregivers Homecare LLC | Home Health | 5443 Wakefield St, Philadelphia, PA 19144-2236 | 2020-10-27 |
| 1083213573 | 1st Independence LLC | Home Health | 1735 Market St Ste A530, Philadelphia, PA 19103-7501 | 2020-10-26 |
| 1932708112 | Stephanie Pierrelouis | Home Health | 101 Beth Dr, Philadelphia, PA 19115-2702 | 2020-10-20 |
| 1548869746 | Aza Sims | Home Health | 30 S 15th St Fl 15, Philadelphia, PA 19102-4806 | 2020-10-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.