Bad Banana Software LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BAD BANANA SOFTWARE LLC

Practice address

5205 Bathley PL
Virginia Beach, VA 23455-6883

Phone

(757) 478-7823

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Brian G Moss Sr.

Title

Owner

Phone

(757) 478-7823

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1205495488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 LYNNHAVEN PKWY STE 106-253",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561497",
            "telephone_number": "877-875-8600",
            "fax_number": "877-572-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 BATHLEY PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556883",
            "telephone_number": "757-478-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAD BANANA SOFTWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-478-7823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.