Organization Active NPI

At Your Side Health & Human Services

  • Developmental Disabilities Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1740725423
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
AT YOUR SIDE HEALTH & HUMAN SERVICES
Practice address
6025 Ridge Lake Cir
Vero Beach, FL 32967-5095
Phone
(772) 559-0111
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Lakeisha WilliamsNPI 1043762594
Title
President
Phone
(772) 559-0111

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

6025 Ridge Lake Cir
Vero Beach, FL 32967-5095

Mailing address

6025 Ridge Lake Cir
Vero Beach, FL 32967-5095
Phone (772) 559-0111

National Provider Directory

National Provider Directory

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": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1740725423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 RIDGE LAKE CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329675095",
            "telephone_number": "772-559-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 RIDGE LAKE CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329675095",
            "telephone_number": "772-559-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT YOUR SIDE HEALTH & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-559-0111"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.