MEDICARE: FRIENDLY HOME HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	385H00000X	Respite Care
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1144924648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDLY HOME HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	3536 CARLIN SPRINGS RD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3003
Country	:	US
Telephone Number	:	571-331-7275
Fax Number	:

Provider Business Practice Location Address
First Line	:	3536 CARLIN SPRINGS RD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3003
Country	:	US
Telephone Number	:	571-331-7275
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARYAN JAMA
Credential	:
Telephone Number	:	571-331-7275

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	11/05/2024

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