Provider Demographics
NPI:1518535848
Name:FAMILY FRIENDS HOME CARE INC
Entity Type:Organization
Organization Name:FAMILY FRIENDS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NACHE
Authorized Official - Middle Name:CHANELL
Authorized Official - Last Name:PATOIR
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:917-589-3274
Mailing Address - Street 1:1357 RIDGE AVE APT 510
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-2420
Mailing Address - Country:US
Mailing Address - Phone:267-702-0404
Mailing Address - Fax:484-848-3221
Practice Address - Street 1:1357 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-2420
Practice Address - Country:US
Practice Address - Phone:267-702-0404
Practice Address - Fax:484-848-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103881303-0001Medicaid