# BLUE RIDGE HOME CARE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336620756
- **Authorized official:** TUNJI ISAAC OGUNMOLA MSW (PRESIDENT)
- **Authorized official phone:** (215) 457-4950

## Contact information

- **Practice address:** 9 E LOOCKERMAN ST STE 211, DOVER, DE 19901-7347
- **Practice address phone:** (302) 397-8211
- **Practice address fax:** (302) 510-4627
- **Mailing address:** 9 E LOOCKERMAN ST STE 211, DOVER, DE 19901-7347
- **Mailing address phone:** (302) 397-8211
- **Mailing address fax:** (302) 510-4627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | NULL | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | — | — |
| 225CX0006X | Orientation and Mobility Training Rehabilitation Counselor | — | NULL | — |
| 225CX0006X | Orientation and Mobility Training Rehabilitation Counselor | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2018
- **Last updated:** 06/05/2024