Provider Demographics
NPI:1558537548
Name:FRIENDLY HOME HEALTH CARE
Entity Type:Organization
Organization Name:FRIENDLY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAMSHUDIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-379-0475
Mailing Address - Street 1:2800 UNIVERSITY AVE SE
Mailing Address - Street 2:SUITE#200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3232
Mailing Address - Country:US
Mailing Address - Phone:612-379-0475
Mailing Address - Fax:
Practice Address - Street 1:2800 UNIVERSITY AVE SE
Practice Address - Street 2:SUITE#200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-3232
Practice Address - Country:US
Practice Address - Phone:612-379-0475
Practice Address - Fax:612-379-0495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health