Healthcare Provider Details

I. General information

NPI: 1346836251
Provider Name (Legal Business Name): FRIENDS HOME & MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 BROOKHAVEN RD STE B
FRANKLIN KY
42134-2744
US

IV. Provider business mailing address

1004 BROOKHAVEN RD STE B
FRANKLIN KY
42134-2744
US

V. Phone/Fax

Practice location:
  • Phone: 615-504-6667
  • Fax: 270-586-1784
Mailing address:
  • Phone: 615-504-6667
  • Fax: 270-586-1784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LYNN HAND
Title or Position: RESPIRATORY THERAPIST
Credential: RT
Phone: 615-504-6667