Provider Demographics
NPI:1356888739
Name:FRISBY HEALTHCARE SOLUTIONS INC
Entity type:Organization
Organization Name:FRISBY HEALTHCARE SOLUTIONS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRISBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-590-5359
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:FL
Mailing Address - Zip Code:32345-0012
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:265 W MADISON ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:FL
Practice Address - Zip Code:32344-1415
Practice Address - Country:US
Practice Address - Phone:850-590-5359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5194735251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265Medicaid
FL112233OtherPRIVATE
FL256444Medicare UPIN
FL268888Medicare Oscar/Certification
FL112233OtherPRIVATE
FL1234567891Medicare NSC