Active NPI
By Your Side Care LLC
- In Home Supportive Care Agency
- Lamotte, IA
National Provider Identifier
1811436645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 090942
- Legal business name
- BY YOUR SIDE CARE LLC
- Practice address
- 6790 Olde Davenport Rd
Lamotte, IA 52054 - Phone
- (563) 590-2688
- NPI assigned
- Feb 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Flanagan, REGISTERED NURSE
- Title
- Owner
- Phone
- (563) 590-2688
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 090942 | IA | |
| In Home Supportive Care Agency | 253Z00000X | 090942 | IA | Primary |
| Respite Care | 385H00000X | 090942 | IA |
Addresses
Primary practice location
6790 Olde Davenport Rd
Lamotte, IA 52054
Mailing address
6790 Olde Davenport Rd
La Motte, IA 52054-9525
Phone (563) 590-2688
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487030400000",
"number": "1811436645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6790 OLDE DAVENPORT RD",
"city": "LA MOTTE",
"state": "IA",
"postal_code": "520549525",
"telephone_number": "563-590-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6790 OLDE DAVENPORT RD",
"city": "LAMOTTE",
"state": "IA",
"postal_code": "52054",
"telephone_number": "563-590-2688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BY YOUR SIDE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-14",
"status": "A",
"authorized_official_last_name": "FLANAGAN",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-590-2688",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IA",
"license": "090942",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IA",
"license": "090942",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "IA",
"license": "090942",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.