Healthcare Provider Details

I. General information

NPI: 1003951047
Provider Name (Legal Business Name): FRIENDSHIP HOME SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 12/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 PLUS PARK BLVD
NASHVILLE TN
37217-1005
US

IV. Provider business mailing address

333 PLUS PARK BLVD
NASHVILLE TN
37217-1005
US

V. Phone/Fax

Practice location:
  • Phone: 615-365-4424
  • Fax: 615-365-0998
Mailing address:
  • Phone: 615-365-4424
  • Fax: 615-365-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberPSS0000000027
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number858
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number858
License Number StateTN

VIII. Authorized Official

Name: JOHN J PLANTINGA
Title or Position: CFO
Credential:
Phone: 615-365-4424