SOUTHSIDE BEHAVIORAL HEALTH - BRANDON HOME
NPI 1912252958
Intermediate Care Facility, Intellectual Disabilities in South Boston, VA

Q: What is Southside Behavioral Health - Brandon Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since July 16, 2012

51 POPLAR CREEK ST, SOUTH BOSTON, VA 24592(434) 575-7707(434) 575-7723 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southside Behavioral Health - Brandon Home NPPES

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

SOUTHSIDE BEHAVIORAL HEALTH - BRANDON HOME (NPI 1912252958) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in South Boston, Virginia and active in the NPI registry since July 2012. The organization maintains a secondary practice location in Clarksville and lists Beth Engelhorn, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912252958

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSOUTHSIDE BEHAVIORAL HEALTH - BRANDON HOME

Location Address51 POPLAR CREEK STSouth Boston, VA 24592-5346

Mailing AddressPo Box 1478Clarksville, VA 23927-1478 · (434) 570-1524 · Fax (434) 374-3221

Phone(434) 575-7707

Fax(434) 575-7723

Organization SubpartNo

Authorized OfficialBeth EngelhornExecutive Director · (434) 572-6916

Enumeration DateJuly 16, 2012

Last NPPES UpdateMarch 2, 2021

NPPES CertifiedMarch 2, 2021

✔ NPI 1912252958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

51 POPLAR CREEK ST, South Boston, VA 24592

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Secondary Practice Location 1

Location 1143 INDUSTRIAL PKYCLARKSVILLE, VA 23927 · Phone (434) 570-1524 · Fax (434) 374-3221

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 Southside Behavioral Health - Brandon Home's NPI number?

The NPI number for Southside Behavioral Health - Brandon Home is 1912252958. It was assigned to this organization in the NPPES registry on July 16, 2012.

Where is Southside Behavioral Health - Brandon Home located?

Southside Behavioral Health - Brandon Home is located at 51 Poplar Creek St, South Boston, VA 24592. The listed phone number is (434) 575-7707.

What is Southside Behavioral Health - Brandon Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Southside Behavioral Health - Brandon Home was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.