MEDICARE: FRIENDLY HOME CARE LLC

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	364SH0200X	Home Health Clinical Nurse Specialist
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790138790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDLY HOME CARE LLC

Provider Business Mailing Address
First Line	:	1717 BRITTAIN RD STE 311
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-1894
Country	:	US
Telephone Number	:	330-217-4169
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 BRITTAIN RD STE 311
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-1894
Country	:	US
Telephone Number	:	330-217-4169
Fax Number	:	614-737-5363

Authorized Official
Title or Position	:	RN
Name	:	LAXMI REGMI
Credential	:
Telephone Number	:	330-217-4169

Provider Enumeration Date	:	07/14/2016
Last Update Date	:	02/07/2023

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Directions to “FRIENDLY HOME CARE LLC ” Practice Location

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