BLUE RIDGE RESIDENTIAL SERVICES, LLC – NPI #1770516148
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

BLUE RIDGE RESIDENTIAL SERVICES, LLC is a community based residential treatment facility located in LYNCHBURG, VA. NPPES has assigned the NPI number 1770516148 to BLUE RIDGE RESIDENTIAL SERVICES, LLC on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE RIDGE RESIDENTIAL SERVICES, LLC below.

NPI Profile for
BLUE RIDGE RESIDENTIAL SERVICES, LLC

NPI Number
1770516148
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE RESIDENTIAL SERVICES, LLC
Primary location
828 MAIN ST
SUITE 1103
LYNCHBURG, VA 24504-1500
Phone: (434) 316-9112 Fax: (434) 316-9244
Mailing address
PO BOX 1159
FOREST, VA 24551-5159
Phone: (434) 316-9112 Fax: (434) 316-9244
Organization Subpart
No
Authorized Official
RICHARD GILMAN
EXECUTIVE DIRECTOR
Phone: (434) 316-9112
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
VA 691

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.