Provider Demographics
NPI:1497986822
Name:A FRIEND IN NEED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:A FRIEND IN NEED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ROSHELL
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-694-3026
Mailing Address - Street 1:P.O. BOX 55
Mailing Address - Street 2:
Mailing Address - City:CLAUDVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24076-0055
Mailing Address - Country:US
Mailing Address - Phone:276-694-3026
Mailing Address - Fax:276-694-3165
Practice Address - Street 1:338-A PATRICK AVE.
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171-1507
Practice Address - Country:US
Practice Address - Phone:276-694-3026
Practice Address - Fax:276-694-3165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-10590251E00000X, 3747P1801X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty