| Organization Name: | BLUE RIDGE HOSPICE INC. |
| NPI Number: | 1306843651 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERNIE J CARNEVALE (CHIEF EXECTUTIVE OFFICER) |
| Mailing Address: | 333 W Cork St #405 Winchester |
| State: | VA US |
| Postal Code: | 226013870 |
| Phone Number: | 5405365210 |
| Fax Number: | 5406780772 |
| NPI Enumeration Date: | 07/01/2005 |
| NPI Last Update Date: | 12/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | 1103813 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |