BLUE RIDGE MOUNTAIN RECOVERY CENTER, LLC (NPI# 1700352739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700352739 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MOUNTAIN RECOVERY CENTER, LLC |
| Other Organization Name | BLUE RIDGE MOUNTAIN RECOVERY CENTER |
| Practice Address |
255 Depot St Ste 200 Ball Ground GA 30107-4065 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 6784546440 |
| Practice Fax Number | 7706923567 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | CHRISTOPHER HOWARD (VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Blue Ridge Mountain Recovery Center | Doing Business As Name - Organization |
| Street Address |
255 DEPOT ST STE 200 |
| City | BALL GROUND |
| State | GA |
| Zip Code | 30107-4065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467954636 | Ryan Klopfer | Chiropractor | 11027 Ball Ground Highway, Ball Ground, GA 30107 | 2018-03-05 |
| 1063785871 | Rocky Mountain Holdings LLC | Ambulance | 1728 Airport Dr, Ball Ground, GA 30107 | 2012-02-10 |
| 1417089756 | Tiffany Kelly Maas | Counselor | 201 Amaranth Court, Ball Ground, GA 30107 | 2007-03-12 |
| 1184126351 | Ball Ground Upper Cervical Chiropractic LLC | Chiropractor | 11027 Ball Ground Highway, Ball Ground, GA 30107 | 2018-03-05 |
| 1558834986 | Dorothy Chadika Burrell | Nurse Practitioner | 220 Bethany Manor Ct, Ball Ground, GA 30107-2264 | 2019-01-08 |
| 1083016802 | Maria Brown | Counselor | 221 Bethany Manor Ct, Ball Ground, GA 30107-2264 | 2014-09-24 |
| 1578075933 | Timothy Michael Williamson | Occupational Therapy Assistant | 153 Bethany Manor Dr, Ball Ground, GA 30107-2268 | 2017-10-25 |
| 1013318948 | Patti Catlett | Radiologic Technologist | 3060 Cypress Cv, Ball Ground, GA 30107-2675 | 2014-09-10 |
| 1538291794 | Jerimy Jerome Bruce | Chiropractor | 255 Gilmer Ferry Rd, Ball Ground, GA 30107-2908 | 2007-03-12 |
| 1396793642 | Robert J. Anderson | Pharmacist | 245 Gilmer Ferry Rd, Ball Ground, GA 30107-2908 | 2006-05-05 |
| Find all providers in zip 30107 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679840821 | Blue Ridge Mountain Recover Center, LLC | Substance Abuse Rehabilitation Facility | 1380 Howell Bridge Rd, Ball Ground, GA 30107-3822 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902041 | Southeast Addiction Center | Substance Abuse Rehabilitation Facility | 3020 Holcomb Bridge Rd Ste C, Norcross, GA 30071-1375 | 2019-09-25 |
| 1316591811 | Rockridge Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 11030 Jones Bridge Rd Ste 301, Johns Creek, GA 30022-4560 | 2019-08-01 |
| 1225697840 | Aspire Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 3850 Holcomb Bridge Rd Ste 215, Peachtree Corners, GA 30092-5219 | 2019-06-07 |
| 1114584570 | Metro Atlanta Treatment | Substance Abuse Rehabilitation Facility | 416 Roswell St Se, Marietta, GA 30060-2067 | 2019-05-21 |
| 1215492186 | Lanier Treatment Center | Substance Abuse Rehabilitation Facility | 592 Medical Park Dr Ste A, Gainesville, GA 30501-2055 | 2019-02-05 |
| 1992209811 | Good Landing Recovery, Corporation | Substance Abuse Rehabilitation Facility | 256 Mcmillan Rd Ste B, Dacula, GA 30019-2337 | 2018-03-23 |
| 1164938361 | Atlanta Recovery Place | Substance Abuse Rehabilitation Facility | 1742 Mount Vernon Rd Ste 100, Atlanta, GA 30338-4251 | 2017-12-26 |
| 1548789860 | Phoenix Family Resource Center | Substance Abuse Rehabilitation Facility | 4284 Memorial Dr Ste D, Decatur, GA 30032-1220 | 2017-09-18 |
| 1104344068 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 723 Baxter St Ste C, Athens, GA 30605-1134 | 2017-08-31 |
| 1164940052 | Transitions Recovery Center | Substance Abuse Rehabilitation Facility | 2855 Candler Rd Ste 16, Decatur, GA 30034-1415 | 2017-08-31 |
| Find all providers with the same taxonomy | ||||
| City | BALL GROUND |
| Zip Code | 30107 |
Please comment or provide details below to improve the information on BLUE RIDGE MOUNTAIN RECOVERY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.