Healthcare Provider Details
I. General information
NPI: 1407782360
Provider Name (Legal Business Name): SIDE BY SIDE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 S GARLAND AVE STE 1300
ORLANDO FL
32801-3357
US
IV. Provider business mailing address
7705 STILL LAKES DR
ODESSA FL
33556-2262
US
V. Phone/Fax
- Phone: 407-906-4086
- Fax:
- Phone: 407-906-4086
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GENESIS
PEREZ ALMONTE
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 203-223-1101