Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southside Behavioral Health - Brandon Home

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1912252958

Southside Behavioral Health - Brandon Home is an Intellectual Disabilities Intermediate Care Facility in South Boston, Virginia. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

51 Poplar Creek St
South Boston, VA 24592-5346
Phone: (434) 575-7707
Fax: (434) 575-7723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 143 Industrial Pky, Clarksville, VA 23927 — (434) 570-1524

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1912252958
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Engelhorn — Executive Director · (434) 572-6916
NPI enumeratedJuly 16, 2012
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing addressPo Box 1478, Clarksville, VA 23927-1478