Mt Sorrell Inc Dba the Arc of Southside

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MT SORRELL INC DBA THE ARC OF SOUTHSIDE

Doing business as

The Arc of Southside

Practice address

734 Main St
Danville, VA 24541-1819

Phone

(434) 836-3272

Fax

(434) 836-5419

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tonya F Milling

Title

Executive Director

Phone

(434) 836-3272

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Arc of Southside Doing business as

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1154430007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411819",
            "telephone_number": "434-836-3272",
            "fax_number": "434-836-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411819",
            "telephone_number": "434-836-3272",
            "fax_number": "434-836-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT SORRELL INC DBA THE ARC OF SOUTHSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "MILLING",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-836-3272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010074614",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arc of Southside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Danville, VA
• Providers in Danville, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.