Organization Active NPI

Myb Enterprises

  • Home Health Agency
  • Portsmouth, VA
National Provider Identifier
1780217604
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MYB ENTERPRISES
Practice address
200 High St Ste 201
Portsmouth, VA 23704-3721
Phone
(757) 822-3835
Fax
(757) 822-3835
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Mrs. Kristal Brooks
Title
President
Phone
(757) 822-3835

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

200 High St Ste 201
Portsmouth, VA 23704-3721

Mailing address

200 High St Ste 201
Portsmouth, VA 23704-3721
Phone (757) 822-3835

National Provider Directory

National Provider Directory

Locations

200 High St
Ste 201
Portsmouth, VA 23704
Phone (757) 822-3835

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1780217604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH ST STE 201",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043721",
            "telephone_number": "757-822-3835",
            "fax_number": "757-822-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH ST STE 201",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043721",
            "telephone_number": "757-822-3835",
            "fax_number": "757-822-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYB ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-822-3835",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.