Healthcare Provider Details
I. General information
NPI: 1730557927
Provider Name (Legal Business Name): FRIICARE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2015
Last Update Date: 09/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 MALLORY CT
NEW CASTLE DE
19720-8853
US
IV. Provider business mailing address
3 MALLORY CT
NEW CASTLE DE
19720-8853
US
V. Phone/Fax
- Phone: 347-231-6749
- Fax:
- Phone: 347-231-6749
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RICARDO
RAMPERSAD
Title or Position: CEO
Credential: LPN
Phone: 347-231-6749