Healthcare Provider Details

I. General information

NPI: 1447971155
Provider Name (Legal Business Name): FRIEND IN NEED ELDERLY CONCIERGE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 FORREST RD
WARSAW NC
28398-2209
US

IV. Provider business mailing address

11811 SUTPHIN BLVD UNIT 98196
JAMAICA NY
11434-2024
US

V. Phone/Fax

Practice location:
  • Phone: 516-851-5471
  • Fax:
Mailing address:
  • Phone: 516-851-5471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: HOLLYANN SUE
Title or Position: PRESIDENT
Credential:
Phone: 347-258-0686