MEDICARE: FRIENDSHIP HOME HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	80526	OTHER	NORTHWOOD NPN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4649846	OTHER	AETNA
4	64478	OTHER	ABP ADMINISTRATION
5	147187	OTHER	BCBS ANTHEM VA

General Provider Information

NPI Number	:	1093794505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDSHIP HOME HEALTH INC

Provider Business Mailing Address
First Line	:	PO BOX 2410
Second Line	:
City	:	WISE
State	:	VA
Zip	:	24293
Country	:	US
Telephone Number	:	276-328-2500
Fax Number	:	276-328-3117

Provider Business Practice Location Address
First Line	:	930 EAST MORGAN AVENUE
Second Line	:
City	:	PENNINGTON GAP
State	:	VA
Zip	:	24277
Country	:	US
Telephone Number	:	276-546-1659
Fax Number	:	276-546-6680

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	MR. RONALD K FREEMAN
Credential	:
Telephone Number	:	276-328-2500

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/11/2025

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