BLUE RIDGE CARE CENTER LLC
NPI 1700602372
Skilled Nursing Facility in Dallas, GA

Active since November 28, 2024CLIA 11D2326792 · Waiver
600 W MEMORIAL DR, DALLAS, GA 30132(770) 445-4411 Get Directions Write a Review

NPPES record last updated: November 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Ridge Care Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE RIDGE CARE CENTER LLC (NPI 1700602372), doing business as Paulding Nursing & Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Dallas, Georgia and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Zack Rosenberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700602372
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBLUE RIDGE CARE CENTER LLC
Location Address600 W MEMORIAL DRDallas, GA 30132-4117
Mailing Address600 W Memorial DrDallas, GA 30132-4117 · (770) 445-4411
Organization SubpartNo
Authorized OfficialZack RosenbergCeo · (732) 335-6951
Enumeration DateNovember 28, 2024
NPPES CertifiedNovember 28, 2024
NPI 1700602372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
600 W MEMORIAL DR, Dallas, GA 30132

Other Names 1

Doing Business AsPaulding Nursing & Rehabilitation

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2326792

Blue Ridge Care Center, LLC Dba Paulding Care Center Nusing & Rehabilitation · Dallas, GA
Active · expires Jul 9, 2027
CLIA Number11D2326792
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorShawna L. Degasto
Laboratory Phone(770) 443-4411
Laboratory LocationBlue Ridge Care Center, LLC Dba Paulding Care Center Nusing & Rehabilitation600 W Memorial Drive, Dallas, GA 30132
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
600 W MEMORIAL DR
DALLAS, GA 30132
Internal Medicine
600 W MEMORIAL DR
DALLAS, GA 30132
Emergency Medicine
600 W MEMORIAL DR
DALLAS, GA 30132
Nurse Practitioner (Adult Health)
600 W MEMORIAL DR
DALLAS, GA 30132
Pharmacy (Community/Retail Pharmacy)
600 W MEMORIAL DR, WELLSTAR PAULDING HOSPITAL
DALLAS, GA 30132
Skilled Nursing Facility
600 W MEMORIAL DR, ATTN: CAROL O'CONNELL
DALLAS, GA 30132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ridge Care Center LLC's NPI number?

The NPI number for Blue Ridge Care Center LLC is 1700602372. It was assigned to this organization in the NPPES registry on November 28, 2024. The provider is doing business as Paulding Nursing & Rehabilitation.

Where is Blue Ridge Care Center LLC located?

Blue Ridge Care Center LLC is located at 600 W Memorial Dr, Dallas, GA 30132. The listed phone number is (770) 445-4411.

What is Blue Ridge Care Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Blue Ridge Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2326792) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Ridge Care Center LLC was last updated on November 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.