MEDICARE: FRIENDS FOREVER RESIDENTIAL 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1851244032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS FOREVER RESIDENTIAL CARE LLC

Provider Business Mailing Address
First Line	:	37226 GROVE AVE APT 301
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-5960
Country	:	US
Telephone Number	:	440-404-5584
Fax Number	:

Provider Business Practice Location Address
First Line	:	37226 GROVE AVE APT 301
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-5960
Country	:	US
Telephone Number	:	440-404-5584
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROSELINE NYABOKE
Credential	:	MISS
Telephone Number	:	440-404-5584

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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