Provider Demographics
NPI:1326581463
Name:RIGHT BY YOUR SIDE HOME CARE, LLC
Entity Type:Organization
Organization Name:RIGHT BY YOUR SIDE HOME CARE, LLC
Other - Org Name:RIGHT BY YOUR SIDE HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-773-4603
Mailing Address - Street 1:501 GREENBRIAR ST
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-2928
Mailing Address - Country:US
Mailing Address - Phone:970-773-3302
Mailing Address - Fax:
Practice Address - Street 1:501 GREENBRIAR ST
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-2928
Practice Address - Country:US
Practice Address - Phone:970-773-3302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171WH0202X
CO04O155251E00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO41089774Medicaid