MEDICARE: UPSIDEHOM, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251X00000X	Supports Brokerage Agency
2	171M00000X	Case Manager/Care Coordinator
3	305S00000X	Point of Service
4	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1548009806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPSIDEHOM, INC.

Provider Business Mailing Address
First Line	:	200 E LAS OLAS BLVD FL 14
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2299
Country	:	US
Telephone Number	:	954-231-4119
Fax Number	:

Provider Business Practice Location Address
First Line	:	6365 NW 6TH WAY STE 200
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-6162
Country	:	US
Telephone Number	:	954-231-4119
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MR. PETER BADGLEY
Credential	:
Telephone Number	:	954-231-4119

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	11/20/2025

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Directions to “UPSIDEHOM, INC. ” Practice Location

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