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BLUE RIDGE INDEPENDENCE AT HOME
NPI 1720757248
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Winchester, VA

Active since September 08, 2021CLIA 49D2297028 · Waiver
333 W CORK ST UNIT 405, WINCHESTER, VA 22601(540) 313-9200(540) 678-0772 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2021, Sep 8, 2021 (2 updates tracked since 2021).

About Blue Ridge Independence At Home NPPES

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

BLUE RIDGE INDEPENDENCE AT HOME (NPI 1720757248) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Winchester, Virginia and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Cheryl Ringer, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1720757248
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameBLUE RIDGE INDEPENDENCE AT HOME
Location Address333 W CORK ST UNIT 405Winchester, VA 22601-3876
Mailing Address333 W Cork St Unit 405Winchester, VA 22601-3876 · (540) 313-9200 · Fax (540) 678-0772
Phone(540) 313-9200
Fax(540) 678-0772
Organization SubpartNo
Authorized OfficialCheryl RingerChief Financial Officer · (540) 313-9200
Enumeration DateSeptember 8, 2021
Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1720757248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
333 W CORK ST UNIT 405, Winchester, VA 22601
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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 49D2297028

Blue Ridge Independence At Home · Winchester, VA
Active · expires Jan 9, 2028
CLIA Number49D2297028
Laboratory TypePace
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorBrendan Flynn
Laboratory Phone(540) 313-9333
Laboratory LocationBlue Ridge Independence At Home2333 Valor Drive, Winchester, VA 22601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

DR. SONJA RICHMOND M.D.
Internal Medicine
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Winchester City (540) 313-9200
RUTH WENZEL
Nurse Practitioner (Family)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Winchester City (540) 313-9200
BRENDAN MICHAEL FLYNN D.O.
Family Medicine (Hospice and Palliative Medicine)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Winchester City (540) 313-9200
TIFFANY MARIE JUDD-ALISHAUSKAS NP-C
Nurse Practitioner
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Winchester City (540) 313-9200
JULIE ANN LANDRIO M.D.
Internal Medicine
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Winchester City (540) 313-9200
HEATHER MARIE WALLACE NP
Nurse Practitioner (Family)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Winchester City (540) 313-9200
PAIGE CALKINS NP
Nurse Practitioner (Family)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Winchester City (540) 313-9200
JENNIFER DAGG
Internal Medicine (Hospice and Palliative Medicine)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Winchester City (540) 313-9200

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 Independence At Home's NPI number?

The NPI number for Blue Ridge Independence At Home is 1720757248. It was assigned to this organization in the NPPES registry on September 8, 2021.

Where is Blue Ridge Independence At Home located?

Blue Ridge Independence At Home is located at 333 W Cork St Unit 405, Winchester, VA 22601. The listed phone number is (540) 313-9200.

What is Blue Ridge Independence At Home's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Blue Ridge Independence At Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2297028) is associated with this NPI, valid through January 9, 2028. 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 Independence At Home was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.