NPI 1811436645 · live from the CMS NPI Registry
By Your Side Care LLC
In Home Supportive Care in Lamotte, IA. National Provider Identifier 1811436645, active.
NPI record
| NPI | 1811436645 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 6790 Olde Davenport Rd, Lamotte, IA 52054 |
| Practice phone | 563-590-2688 |
| Mailing address | 6790 Olde Davenport Rd, La Motte, IA 52054 |
| Enumerated | February 13, 2017 |
| Last updated | February 14, 2017 |
| Authorized official | Lisa Flanagan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | 090942 (IA) |
| Respite Care | 385H00000X | 090942 (IA) |
| In Home Supportive Care primary | 253Z00000X | 090942 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.