Provider Demographics
NPI:1376265181
Name:CARE BY YOUR SIDE & SERIVCES, LLC
Entity Type:Organization
Organization Name:CARE BY YOUR SIDE & SERIVCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-907-8770
Mailing Address - Street 1:2125 THORNBLADE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-6438
Mailing Address - Country:US
Mailing Address - Phone:866-511-0666
Mailing Address - Fax:
Practice Address - Street 1:2125 THORNBLADE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-6438
Practice Address - Country:US
Practice Address - Phone:919-907-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care