Provider Demographics
NPI:1235462615
Name:BY YOUR SIDE HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:BY YOUR SIDE HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUFINO
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGOD
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:630-717-9118
Mailing Address - Street 1:800 WEST 5TH AVENUE
Mailing Address - Street 2:SUITE 100 J
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4982
Mailing Address - Country:US
Mailing Address - Phone:630-717-9118
Mailing Address - Fax:630-717-9111
Practice Address - Street 1:800 WEST 5TH AVENUE
Practice Address - Street 2:SUITE 100 J
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4982
Practice Address - Country:US
Practice Address - Phone:630-717-9118
Practice Address - Fax:630-717-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000258251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care