MEDICARE: SIDE BY SIDE HOME CARE, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1972438323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIDE BY SIDE HOME CARE, LLC

Provider Business Mailing Address
First Line	:	7705 STILL LAKES DR
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-2262
Country	:	US
Telephone Number	:	407-906-4086
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 S GARLAND AVE STE 1300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3357
Country	:	US
Telephone Number	:	407-906-4086
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ ADMINISTRATOR
Name	:	GENESIS PEREZ ALMONTE
Credential	:
Telephone Number	:	203-223-1101

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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