By Your Side Senior Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BY YOUR SIDE SENIOR CARE

Practice address

1515 Business Center Dr Ste 3
Fleming Island, FL 32003-4401

Phone

(904) 579-3059

Fax

(904) 644-7972

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Bledsoe

Title

Ceo Owner

Phone

(904) 579-3059

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1295430858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 3",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-579-3059",
            "fax_number": "904-644-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 3",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-579-3059",
            "fax_number": "904-644-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY YOUR SIDE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "904-579-3059"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Burgholzer, RDH
• Kristen Burgstiner, APRN
• Heather Brooks Burson, APRN, PMHNP-BC
• Angela C Busch-Doble, D.O.
• Abby Butler, LCSW
• Pam Callan, ARNP
• Alexa Marie Campbell, PHARMD
• Cancer Specialists, LLC
• Michelle I Cannon, PT
• Cardiocare of Jacksonville LLC

• In Home Supportive Care Agency in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.