Care by Your Side Delivery Service

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

CARE BY YOUR SIDE DELIVERY SERVICE

Practice address

10555 Turtlewood CT
1112
Houston, TX 77072-2700

Phone

(832) 564-5424

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Marquita Deval JonesNPI 1396157640

Title

Owner

Phone

(832) 546-5424

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Marquita Deval Jones

  • Nurse's Aide
  • Houston, TX
  • NPI 1396157640
  NPD (past) Authorized official

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1710378914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 TURTLEWOOD CT",
            "address_2": "1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722700",
            "telephone_number": "832-564-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 TURTLEWOOD CT",
            "address_2": "1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722700",
            "telephone_number": "832-564-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BY YOUR SIDE DELIVERY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_middle_name": "DEVAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-546-5424"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA",
            "identifier": "8635681",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Houston, TX
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• PACE Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.