Healthcare Provider Details
I. General information
NPI: 1518358514
Provider Name (Legal Business Name): AMONG FRIENDS HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/11/2015
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
91 STAFFORD ST SUITE 1A
WORCESTER MA
01603-1453
US
IV. Provider business mailing address
91 STAFFORD ST SUITE 1A
WORCESTER MA
01603-1453
US
V. Phone/Fax
- Phone: 508-614-0788
- Fax:
- Phone: 508-614-0788
- 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 | MA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
LIVIU
POPA
Title or Position: CEO
Credential: BS
Phone: 631-464-6922