NPIMap

Organization Active NPI

Friendship Retirement Corporation

  • Assisted Living Facility
  • Glendale, AZ
National Provider Identifier
1013180694
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALC-2586 Issued in AZ
Legal business name
FRIENDSHIP RETIREMENT CORPORATION
Practice address
8611 N 67TH Ave
Glendale, AZ 85302-4351
Phone
(623) 847-3006
Fax
(623) 842-9588
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Susan M Hornbostel
Title
Senior Vice President and Cfo
Phone
(623) 847-3006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALC-2586 AZ Primary

Addresses

Primary practice location

8611 N 67TH Ave
Glendale, AZ 85302-4351

Mailing address

8611 N 67TH Ave
Glendale, AZ 85302-4351
Phone (623) 847-3006

Other identifiers 1

IdentifierTypeStateIssuer
536815MedicaidAZ

Other names 1

  • Friendship Manor I And II Other name

National Provider Directory

National Provider Directory
Tax ID family
Friendship Manor I and II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1013180694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024351",
            "telephone_number": "623-847-3006",
            "fax_number": "623-842-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024351",
            "telephone_number": "623-847-3006",
            "fax_number": "623-842-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP RETIREMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "HORNBOSTEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "623-847-3006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-2586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "536815",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Manor I And II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.