Healthcare Provider Details

I. General information

NPI: 1275511024
Provider Name (Legal Business Name): FRIENDSHIP HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W MAIN ST
WISE VA
24293
US

IV. Provider business mailing address

PO BOX 2410
WISE VA
24293
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAMES MICHAEL LOFTIS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 865-415-2740