ANGELS BY YOUR SIDE, LLC – NPI #1134725062
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

ANGELS BY YOUR SIDE, LLC is a residential treatment facility located in CLEARWATER, FL. NPPES has assigned the NPI number 1134725062 to ANGELS BY YOUR SIDE, LLC on December 07, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGELS BY YOUR SIDE, LLC below.

NPI Profile for
ANGELS BY YOUR SIDE, LLC

NPI Number
1134725062
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANGELS BY YOUR SIDE, LLC
Primary location
2630 CHAUCER ST.
CLEARWATER, FL 33765
Phone: (815) 451-2865 Fax:
Mailing address
2360 CHAUCER ST
CLEARWATER, FL 33765-4203
Phone: (815) 451-2865 Fax:
Organization Subpart
No
Authorized Official
CHANDASIRI THUMBAGE
OWNER
Phone: (815) 451-2865
Updated
Certification Date
Dec 03, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.