Provider Demographics
NPI:1477944072
Name:FAMILY & FRIENDS HOME CARE LLC.
Entity Type:Organization
Organization Name:FAMILY & FRIENDS HOME CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YYVETTE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, LPN
Authorized Official - Phone:614-636-1152
Mailing Address - Street 1:290 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44481-1025
Mailing Address - Country:US
Mailing Address - Phone:888-810-8652
Mailing Address - Fax:
Practice Address - Street 1:290 W MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44481-1025
Practice Address - Country:US
Practice Address - Phone:888-810-8652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care