MEDICARE: FRIEND IN ME HOME CARE SERVICES LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1316873417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIEND IN ME HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 385
Second Line	:
City	:	FRUITLAND PARK
State	:	FL
Zip	:	34731-0385
Country	:	US
Telephone Number	:	407-219-6338
Fax Number	:

Provider Business Practice Location Address
First Line	:	5111 LONDONDERRY BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-3605
Country	:	US
Telephone Number	:	407-219-6338
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIRLENE POLYNICE
Credential	:
Telephone Number	:	407-219-6338

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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