Provider Demographics
NPI:1003247453
Name:CARE BY YOUR SIDE LLC
Entity Type:Organization
Organization Name:CARE BY YOUR SIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-862-8925
Mailing Address - Street 1:2148 SETTLE CIR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-2246
Mailing Address - Country:US
Mailing Address - Phone:770-862-8925
Mailing Address - Fax:404-393-0304
Practice Address - Street 1:2148 SETTLE CIR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-2246
Practice Address - Country:US
Practice Address - Phone:770-862-8925
Practice Address - Fax:404-393-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044R1143253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care