Healthcare Provider Details

I. General information

NPI: 1255322004
Provider Name (Legal Business Name): FRIENDS HEALTH CARE ASSOCIATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E HERMAN ST
YELLOW SPRINGS OH
45387-1601
US

IV. Provider business mailing address

150 E HERMAN ST
YELLOW SPRINGS OH
45387-1601
US

V. Phone/Fax

Practice location:
  • Phone: 937-767-7363
  • Fax: 937-767-2333
Mailing address:
  • Phone: 937-767-7363
  • Fax: 937-767-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number5719
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3100
License Number StateOH

VIII. Authorized Official

Name: JEFFREY S SINGLETON
Title or Position: ADMINISTRATOR
Credential:
Phone: 937-767-7363