Provider Demographics
NPI:1689288607
Name:ALWAYS BY YOUR SIDE HOME CARE
Entity Type:Organization
Organization Name:ALWAYS BY YOUR SIDE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANNA
Authorized Official - Middle Name:YARETH
Authorized Official - Last Name:CHINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-466-5341
Mailing Address - Street 1:3305 SPRING MOUNTAIN RD STE 62
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8626
Mailing Address - Country:US
Mailing Address - Phone:702-466-5341
Mailing Address - Fax:
Practice Address - Street 1:1180 N TOWN CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-6308
Practice Address - Country:US
Practice Address - Phone:702-466-5341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV10019-PCS-0Medicaid