By Your Side - Peace of Mind LLC

Primary specialty

Emergency Response System CompaniesTaxonomy code 333300000X

Legal business name

BY YOUR SIDE - PEACE OF MIND LLC

Practice address

446 S Comstock
Sutherlin, OR 97479

Phone

(541) 229-2273

Fax

(541) 229-5265

NPI assigned

Apr 17, 2013

Last updated

Sep 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie R Shaw

Title

Member/Manager

Phone

(541) 229-2273

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1164865499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S COMSTOCK",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "97479",
            "telephone_number": "541-459-1260",
            "fax_number": "541-459-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 S COMSTOCK",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "97479",
            "telephone_number": "541-229-2273",
            "fax_number": "541-229-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY YOUR SIDE - PEACE OF MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "541-229-2273"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500650323",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ian Leonard Black, RPH
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• Emergency Response System Companies in Sutherlin, OR
• Providers in Sutherlin, OR by specialty
• Emergency Response System Companies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.