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Southside Behavioral Health - Brandon Home
NPI 1912252958 · Intellectual Disabilities Intermediate Care Facility · South Boston, VA
Provider details
- NPI number
- 1912252958
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Beth Engelhorn, Executive Director(434) 572-6916
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
51 Poplar Creek St
South Boston, VA 24592-5346
Phone: (434) 575-7707
Fax: (434) 575-7723
Street-level locationGet directions
Mailing address
Po Box 1478
Clarksville, VA 23927-1478
Additional practice locations (1)
- 143 Industrial PkyClarksville, VA 23927Phone: (434) 570-1524Fax: (434) 374-3221
Registry dates
- Enumerated
- 2012-07-16
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.