Provider Demographics
NPI:1356075154
Name:FRIENDLY KEEPERS HOMECARE AGENCY LLC
Entity type:Organization
Organization Name:FRIENDLY KEEPERS HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:YONGHABI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:346-390-2559
Mailing Address - Street 1:25206 CLOVER RANCH DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3018
Mailing Address - Country:US
Mailing Address - Phone:346-390-2559
Mailing Address - Fax:
Practice Address - Street 1:25206 CLOVER RANCH DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3018
Practice Address - Country:US
Practice Address - Phone:346-390-2559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health