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Contact Information

BLUE RIDGE HOME CARE, INC
1310 W ROOSEVELT BLVD
PHILADELPHIA, PA19140-2033
 Phone: 215-457-4950
 Fax: 215-329-8808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Case Management

251B00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for BLUE RIDGE HOME CARE, INC

NPI # 1598193930
LBN Legal business name BLUE RIDGE HOME CARE, INC
Authorized official TUNJI OGUNMOLA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2013
Last updated 09/02/2025 - About 9 months ago
Identifiers
PA License # 04800501
PA License # 23033601
PA Medicaid 102817836
PA Other 23033601 HOME CARE LICENSE
PA Other 04800501 HOME HEALTHCARE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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