Healthcare Provider Details

I. General information

NPI: 1134107808
Provider Name (Legal Business Name): FRIENDSHIP HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BEN BOLT PROFESSIONAL PARK
TAZEWELL VA
24651
US

IV. Provider business mailing address

119 W MAIN ST
WISE VA
24293-5404
US

V. Phone/Fax

Practice location:
  • Phone: 276-988-7911
  • Fax: 276-988-4942
Mailing address:
  • Phone: 276-328-2500
  • Fax: 276-328-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES MICHAEL LOFTIS SR.
Title or Position: CEO
Credential:
Phone: 843-609-5733