Provider Demographics
NPI:1922448984
Name:FRIENDS HEALTH CARE TEAM, INC.
Entity Type:Organization
Organization Name:FRIENDS HEALTH CARE TEAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-350-8233
Mailing Address - Street 1:7700 LITTLE RIVER TPKE STE 600
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2400
Mailing Address - Country:US
Mailing Address - Phone:571-350-8233
Mailing Address - Fax:571-350-8225
Practice Address - Street 1:7700 LITTLE RIVER TPKE STE 600
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2400
Practice Address - Country:US
Practice Address - Phone:800-350-3147
Practice Address - Fax:571-350-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-04
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO181081Medicaid