Healthcare Provider Details
I. General information
NPI: 1881292183
Provider Name (Legal Business Name): ALWAYS AT YOUR SIDE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2020
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13965 NW 67TH AVE
MIAMI LAKES FL
33014-2935
US
IV. Provider business mailing address
13965 NW 67TH AVE
MIAMI LAKES FL
33014-2935
US
V. Phone/Fax
- Phone: 305-362-2202
- Fax: 855-873-0981
- Phone: 305-362-2202
- Fax: 855-873-0981
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDRA
CRISTINA
ALONSO
Title or Position: PRESIDENT
Credential: MHSA
Phone: 305-362-2202