Organization Active NPI

Friendly Home Inc

  • Skilled Nursing Facility
  • Woonsocket, RI
National Provider Identifier
1093786071
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
631 Issued in RI
Legal business name
FRIENDLY HOME INC
Practice address
303 Rhodes Ave
Woonsocket, RI 02895-2899
Phone
(401) 769-7220
Fax
(401) 766-8282
NPI assigned
Jan 30, 2006
Organization subpart
Yes
Parent organization
FRIENDLY HOME INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Ms. Katharine R Epp
Title
Ceo
Phone
(401) 769-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 631 RI Primary

Addresses

Primary practice location

303 Rhodes Ave
Woonsocket, RI 02895-2899

Mailing address

303 Rhodes Ave
Woonsocket, RI 02895-2899
Phone (401) 769-7220

Other identifiers 1

IdentifierTypeStateIssuer
4105044MedicaidRI

National Provider Directory

National Provider Directory
Part of
Friendly Home Inc

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1093786071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 RHODES AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952899",
            "telephone_number": "401-769-7220",
            "fax_number": "401-766-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 RHODES AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952899",
            "telephone_number": "401-769-7220",
            "fax_number": "401-766-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY HOME INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRIENDLY HOME INC",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "EPP",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-769-7220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105044",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.