Organization Active NPI

At Your Side Health and Human Services Inc

  • Developmental Disabilities Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1770077976
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
AT YOUR SIDE HEALTH AND HUMAN SERVICES INC
Practice address
2405 14TH Ave
Vero Beach, FL 32960-3303
Phone
(772) 559-0111
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Lakeisha Williams
Title
Ceo
Phone
(772) 559-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2405 14TH Ave
Vero Beach, FL 32960-3303

Mailing address

2405 14TH Ave
Vero Beach, FL 32960-3303

National Provider Directory

National Provider Directory

Locations

2405 14th Ave
Vero Beach, FL 32960
Phone (772) 559-0111

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1770077976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 14TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 14TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603303",
            "telephone_number": "772-559-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT YOUR SIDE HEALTH AND HUMAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "CEO",
        "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 Jun 20, 2018; 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.