1497986822 NPI number — A FRIEND IN NEED HOME HEALTH CARE LLC

Table of content: MR. LOUIS JASMINE MSW (NPI 1730273848)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497986822 NPI number — A FRIEND IN NEED HOME HEALTH CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A FRIEND IN NEED HOME HEALTH CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497986822
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 55
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLAUDVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24076-0055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-694-3026
Provider Business Mailing Address Fax Number:
276-694-3165

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
338-A PATRICK AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STUART
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24171-1507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-694-3026
Provider Business Practice Location Address Fax Number:
276-694-3165
Provider Enumeration Date:
08/03/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SIMMONS
Authorized Official First Name:
AMY
Authorized Official Middle Name:
ROSHELL
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
276-694-3026

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HCO-10590 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3747P1801X , with the licence number: HCO-10590 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 385H00000X , with the licence number: HCO-10590 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)