Organization Active NPI

By Your Side Home Care, LLC

  • In Home Supportive Care Agency
  • Dothan, AL
National Provider Identifier
1235847096
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BY YOUR SIDE HOME CARE, LLC
Practice address
401 N Foster St
Dothan, AL 36303-4554
Phone
(850) 372-4883
Fax
(850) 331-1583
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Alesha Patton PridgenNPI 1275054744
Title
Administrator/Owner
Phone
(850) 372-4883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

401 N Foster St
Dothan, AL 36303-4554

Mailing address

3026 Auction Dr
Marianna, FL 32448-7714
Phone (850) 372-4883

National Provider Directory

National Provider Directory

Locations

401 N Foster St
Dothan, AL 36303
Phone (850) 372-4883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1235847096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 AUCTION DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324487714",
            "telephone_number": "850-372-4883",
            "fax_number": "850-331-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N FOSTER ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034554",
            "telephone_number": "850-372-4883",
            "fax_number": "850-331-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY YOUR SIDE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "ALESHA",
        "authorized_official_middle_name": "PATTON",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "850-372-4883"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.