Healthcare Provider Details

I. General information

NPI: 1225933245
Provider Name (Legal Business Name): FRIENDSHIP CARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17940 E 95TH PL
COMMERCE CITY CO
80022-9664
US

IV. Provider business mailing address

17940 E 95TH PL
COMMERCE CITY CO
80022-9664
US

V. Phone/Fax

Practice location:
  • Phone: 303-285-9667
  • Fax: 303-827-0663
Mailing address:
  • Phone: 303-285-9667
  • Fax: 303-827-0663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: ESKINDIR WORKU
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 720-473-9692