Friendship House

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FRIENDSHIP HOUSE

Doing business as

Supported Living Agency
Supported Living Home

Practice address

1795 Florence St
Enumclaw, WA 98022-2430

Phone

(360) 802-9049

Fax

(360) 825-0658

NPI assigned

Apr 19, 2023

Last updated

Apr 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Bailey

Title

Manager

Phone

(360) 802-9049

Specialties & licenses 1

Addresses

Other names 2

• Supported Living Agency Doing business as
• Supported Living Home Doing business as

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1114614252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 FLORENCE STREET",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "98022",
            "telephone_number": "360-802-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 FLORENCE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222430",
            "telephone_number": "360-802-9049",
            "fax_number": "360-825-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-802-9049"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supported Living Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Supported Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Medical Group (Franciscan Medical Clinic-Enumclaw)
• Franciscan Medical Group (Franciscan Heart and Vascular Associates - Enumclaw)
• Fred Meyer Stores Inc (QFC Pharmacy)
• Luther A Frerichs, MD
• Joy Yea Frey, ARNP
• Tim J Frostad, PHARMACIST
• Jill Anne Fullerton, RPH
• Kristina Renee Furbush
• Brea Shan Fyke
• Dawn Cathleen Gallagher Szylwin, RPH

• Assisted Living Facility in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.