Organization Active NPI

Friendly Home Care

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1043675457
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1071L001 Issued in NY
Legal business name
FRIENDLY HOME CARE
Practice address
415 Ocean View Ave FL 2
Brooklyn, NY 11235-6828
Phone
(718) 998-4700
Fax
(718) 998-4702
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Alla Petrovitskaya
Title
Administrator
Phone
(718) 998-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1071L001 NY Primary

Addresses

Primary practice location

415 Ocean View Ave FL 2
Brooklyn, NY 11235-6828

Mailing address

415 Ocean View Ave FL 2
Brooklyn, NY 11235-6828
Phone (347) 392-6134

Other identifiers 1

IdentifierTypeStateIssuer
04175164MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Friendly Home Care2 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.

Locations

415 Ocean View Ave
#2
Brooklyn, NY 11235
Phone (718) 998-4700

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1043675457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OCEAN VIEW AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356828",
            "telephone_number": "347-392-6134",
            "fax_number": "718-998-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 OCEAN VIEW AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356828",
            "telephone_number": "718-998-4700",
            "fax_number": "718-998-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "PETROVITSKAYA",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-998-4700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1071L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04175164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.