Healthcare Provider Details

I. General information

NPI: 1568371680
Provider Name (Legal Business Name): SEASIDE BY YOUR SIDE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9990 COCONUT RD
ESTERO FL
34135-8488
US

IV. Provider business mailing address

181 VAN BUREN ST
MASSAPEQUA PARK NY
11762-2442
US

V. Phone/Fax

Practice location:
  • Phone: 239-777-1956
  • Fax:
Mailing address:
  • Phone: 516-606-0143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: ANDREW HEPWORTH
Title or Position: OWNER
Credential:
Phone: 516-606-0143