Southside Group Homes, Llc

LBN: Southside Group Homes, Llc
Southside Group Homes, Llc is an health care organization with primary practice located at 3400 Airline Blvd , Portsmouth VA 23701-2623. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southside Group Homes, Llc can be contacted via phone (757) 673-1483, or through Ilapit, Lisa Ann via phone (757) 362-1479.

Contact Information

Primary practice address
3400 Airline Blvd Portsmouth VA 23701-2623
Phone: (757) 673-1483
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ilapit, Lisa Ann
Phone: (757) 362-1479

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1386208270
LBN Legal business name Southside Group Homes, Llc
DBA Doing business as
Authorized official Ilapit, Lisa Ann
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2019
Last updated Apr 25th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386208270 NPPES
Virginia MEDICAID 0610652114
Virginia MEDICAID 0730265045
Virginia MEDICAID 0173726701
Virginia MEDICAID 0243633416

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