Side by Side Senior Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SIDE BY SIDE SENIOR SERVICES LLC

Practice address

9635 Southern Pine Blvd Ste 106
Charlotte, NC 28273-5546

Phone

(704) 548-7945

NPI assigned

Apr 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea D Johnson

Title

Owner

Phone

(704) 548-7945

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1104409911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735546",
            "telephone_number": "704-548-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735546",
            "telephone_number": "704-548-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDE BY SIDE SENIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-548-7945"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Sicard, M.D.
• Erin Parsons Siceloff, PA-C
• Sickle Cell Disease Assoc. Southern Piedmont, Inc.
• Abubaker Siddig
• Huma Jabeen Siddiqui, M.D.,
• Krista K. Sidell, NP
• Jaskiran Kaur Sidhu
• Rebecca Marie Sidlovsky, PT, DPT
• Alena Nicole Sidwell, MD
• Sie Eyecare, O.D., P.a.

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.