Mind & Body at Home Living Services

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

MIND & BODY AT HOME LIVING SERVICES

Practice address

8406 Shepherds Watch Dr
Chesterfield, VA 23832-7871

Phone

(757) 774-3360

NPI assigned

Aug 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mysti Nichele Nichols, MSW

Title

Owner/Ceo

Phone

(757) 774-3360

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1134777402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 SHEPHERDS WATCH DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327871",
            "telephone_number": "757-774-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 SHEPHERDS WATCH DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327871",
            "telephone_number": "757-774-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BODY AT HOME LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MYSTI",
        "authorized_official_middle_name": "NICHELE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "757-774-3360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dianne Miller, LPC
• Austin Elizabeth Miller, COTA/L
• Jennifer Miller, MSW, LCSW
• Mark S Miller, L.P.C.
• Celeste B Minar, L.P.C.
• Mindful Intentions, LLC
• Minds of Excellence LLC
• Christina Miner, RESIDENT
• Asha S Mishra, M.D.
• Billie Mitchell, MS, RN, CNS

• Home Health Aide in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.