MBH Side by Side LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MBH SIDE BY SIDE LLC

Doing business as

SIDE BY SIDE

Practice address

112 W Washington St Ste M9
Suffolk, VA 23434-5246

Phone

(757) 809-4622

NPI assigned

Jan 11, 2021

Organization subpart

No

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

Authorized official

Name

Cameon D Williams

Title

Director

Phone

(757) 606-5556

Specialties & licenses 1

Addresses

Other names 1

• SIDE BY SIDE Doing business as

Locations

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1396334843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W WASHINGTON ST STE M9",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345246",
            "telephone_number": "757-809-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W WASHINGTON ST STE M9",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345246",
            "telephone_number": "757-809-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBH SIDE BY SIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAMEON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-606-5556"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIDE BY SIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.