Healthcare Provider Details

I. General information

NPI: 1487088126
Provider Name (Legal Business Name): FRIENDS OF CYRUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2013
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 METTOWEE FARMS CT
UPPER SADDLE RIVER NJ
07458-2125
US

IV. Provider business mailing address

2 METTOWEE FARMS CT
UPPER SADDLE RIVER NJ
07458-2125
US

V. Phone/Fax

Practice location:
  • Phone: 201-909-8787
  • Fax:
Mailing address:
  • Phone: 201-909-8787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAREN SINGHANI
Title or Position: CEO
Credential: MBA
Phone: 201-909-8787