MEDICARE: 50 FRIENDS HOMECARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1245034578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	50 FRIENDS HOMECARE INC

Provider Business Mailing Address
First Line	:	708 S RIDGE ST
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-4738
Country	:	US
Telephone Number	:	561-503-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 S RIDGE ST
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-4738
Country	:	US
Telephone Number	:	561-503-3441
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRADFORD MOISE ANICETTE
Credential	:
Telephone Number	:	561-503-3441

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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