Provider Demographics
NPI:1134540453
Name:ALONGSIDE HOME HEALTHCARE AGENCY. LLC
Entity type:Organization
Organization Name:ALONGSIDE HOME HEALTHCARE AGENCY. LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACYANN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-261-3726
Mailing Address - Street 1:9825 MARINA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6628
Mailing Address - Country:US
Mailing Address - Phone:954-261-3726
Mailing Address - Fax:
Practice Address - Street 1:9825 MARINA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6628
Practice Address - Country:US
Practice Address - Phone:954-261-3726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-05
Last Update Date:2014-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care