MEDICARE: FRIENDS HOMES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	NH0190	NC
2	313M00000X	Nursing Facility/Intermediate Care Facility	NH0190	NC
3	314000000X	Skilled Nursing Facility	NH0190	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00833	OTHER	NC	BCBS PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417951492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS HOMES, INC.

Provider Business Mailing Address
First Line	:	925 NEW GARDEN ROAD
Second Line	:	FRIENDS HOMES INC
City	:	GREENSBORO
State	:	NC
Zip	:	27410-3267
Country	:	US
Telephone Number	:	336-292-8187
Fax Number	:	336-854-9137

Provider Business Practice Location Address
First Line	:	925 NEW GARDEN ROAD
Second Line	:	FRIENDS HOMES INC
City	:	GREENSBORO
State	:	NC
Zip	:	27410-3267
Country	:	US
Telephone Number	:	336-292-8187
Fax Number	:	336-854-9137

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. TIM JACKSON
Credential	:
Telephone Number	:	336-292-8187

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	11/06/2014

Similar Medicare Providers

1770787889 — MRS. ADRIENNE ATWOOD HENDERSON MPT
Practice Location Address:

925 NEW GARDEN RD
GREENSBORO, NC
27410-3267

Practice Phone: 336-851-0612
Practice Fax: 336-851-0612

1881898914 — MS. DONNA MEDLEY COLSON COTA
Practice Location Address:

925 NEW GARDEN RD
GREENSBORO, NC
27410-3267

Practice Phone: 336-851-0612
Practice Fax:

1790037976 — A DAY OF DISTINCTION
Practice Location Address:

1106 E MARKET ST
GREENSBORO, NC
27401-3267

Practice Phone: 336-317-9226
Practice Fax:

1740130491 — CELTIC WOUND CARE LLC
Practice Location Address:

3726B BATTLEGROUND AVE
GREENSBORO, NC
27410-2344

Practice Phone: 336-706-4321
Practice Fax: 336-900-2129

1821948381 — DR. MARY D LITCHFORD PHD, RDN, LDN
Practice Location Address:

5601 FOREST MANOR DR STE 226
GREENSBORO, NC
27410-9327

Practice Phone: 336-282-0668
Practice Fax:

1871596809 — DR. CHARLES RICHARD EPES MD
Practice Location Address:

3312 BATTLEGROUND AVE
GREENSBORO, NC
27410-2402

Practice Phone: 336-282-5000
Practice Fax: 336-482-3778

Directions to “FRIENDS HOMES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.