Healthcare Provider Details

I. General information

NPI: 1518535848
Provider Name (Legal Business Name): FAMILY FRIENDS HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 RIDGE AVE
PHILADELPHIA PA
19123-2420
US

IV. Provider business mailing address

1357 RIDGE AVE APT 510
PHILADELPHIA PA
19123-2420
US

V. Phone/Fax

Practice location:
  • Phone: 267-702-0404
  • Fax: 484-848-3221
Mailing address:
  • Phone: 267-702-0404
  • Fax: 484-848-3221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NACHE CHANELL PATOIR
Title or Position: CEO/DIRECTOR
Credential: ESQ
Phone: 917-589-3274