Healthcare Provider Details

I. General information

NPI: 1790138790
Provider Name (Legal Business Name): FRIENDLY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 BRITTAIN RD STE 311
AKRON OH
44310-1894
US

IV. Provider business mailing address

1717 BRITTAIN RD STE 311
AKRON OH
44310-1894
US

V. Phone/Fax

Practice location:
  • Phone: 330-217-4169
  • Fax: 614-737-5363
Mailing address:
  • Phone: 330-217-4169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: LAXMI REGMI
Title or Position: RN
Credential:
Phone: 330-217-4169