Provider Demographics
NPI:1336916048
Name:BY YOUR SIDE LLC
Entity Type:Organization
Organization Name:BY YOUR SIDE LLC
Other - Org Name:BY YOUR SIDE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINBOTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-225-4400
Mailing Address - Street 1:1936 E 41ST ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-2612
Mailing Address - Country:US
Mailing Address - Phone:440-225-4400
Mailing Address - Fax:
Practice Address - Street 1:1936 E 41ST ST
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-2612
Practice Address - Country:US
Practice Address - Phone:440-225-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care