Provider Demographics
NPI:1548009806
Name:UPSIDEHOM, INC.
Entity type:Organization
Organization Name:UPSIDEHOM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BADGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-231-4119
Mailing Address - Street 1:6365 NW 6TH WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6162
Mailing Address - Country:US
Mailing Address - Phone:954-231-4119
Mailing Address - Fax:
Practice Address - Street 1:6365 NW 6TH WAY STE 200
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6162
Practice Address - Country:US
Practice Address - Phone:954-231-4119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage