MEDICARE: BY YOUR SIDE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care

General Provider Information

NPI Number	:	1336916048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BY YOUR SIDE LLC

Provider Business Mailing Address
First Line	:	1936 E 41ST ST
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44055-2612
Country	:	US
Telephone Number	:	440-225-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1936 E 41ST ST
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44055-2612
Country	:	US
Telephone Number	:	440-225-4400
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LEILA HIGGINBOTHAM
Credential	:
Telephone Number	:	440-225-4400

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	05/15/2024

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Directions to “BY YOUR SIDE LLC ” Practice Location

Language	Start Address	Practice Location

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