Provider Demographics
NPI:1225762495
Name:FRIENDSHIP CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:FRIENDSHIP CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ESKINDIR
Authorized Official - Middle Name:
Authorized Official - Last Name:WORKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-473-9692
Mailing Address - Street 1:17940 E 95TH PL
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9664
Mailing Address - Country:US
Mailing Address - Phone:720-473-9692
Mailing Address - Fax:
Practice Address - Street 1:17940 E 95TH PL
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-9664
Practice Address - Country:US
Practice Address - Phone:720-473-9692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No347C00000XTransportation ServicesPrivate Vehicle