Healthcare Provider Details
I. General information
NPI: 1306450986
Provider Name (Legal Business Name): ALWAYS BY YOUR SIDE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2020
Last Update Date: 12/16/2023
Certification Date: 12/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4455 S JONES BLVD STE 1
LAS VEGAS NV
89103-3365
US
IV. Provider business mailing address
4455 S JONES BLVD STE 1
LAS VEGAS NV
89103-3365
US
V. Phone/Fax
- Phone: 702-466-5341
- Fax:
- Phone: 702-466-5341
- 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:
DANNA
YARETH
CHINO
Title or Position: CEO
Credential:
Phone: 702-466-5341