B&M Group Homes,LLC

Primary specialty

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

License

1140 Issued in VA

Legal business name

B&M GROUP HOMES,LLC

Practice address

707 New Bern Ave
Hampton, VA 23669-1308

Phone

(757) 637-7975

Fax

(757) 637-7975

NPI assigned

Dec 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Lewis Kevin Moore

Title

Co Owner

Phone

(757) 641-1061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1376872465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 OLD VIRGINIA RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231620",
            "telephone_number": "757-641-1061",
            "fax_number": "866-826-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NEW BERN AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691308",
            "telephone_number": "757-637-7975",
            "fax_number": "757-637-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&M GROUP HOMES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "757-641-1061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Av Legacy Services
• Andrea Avalos, MD
• Tokunbo Izevbuhe Ayeni II, MD
• Olayiwola B Ayodeji, M.D, MPH
• Shaimaa Azzubairi, DMD
• Ali Hussein Baalbaki, MD
• Kathy Szynklewski Babel, PSY.D.
• Dana Lynne Bachtell, MD
• Geoffrey Bacon, M.D.
• Nader Talat Baddar, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hampton, VA
• Providers in Hampton, 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 May 13, 2010; 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.