Friends for Life Residential Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FRIENDS FOR LIFE RESIDENTIAL CARE, LLC

Practice address

1910 Indian Wood Cir Ste 100
Maumee, OH 43537-4029

Phone

(419) 908-9440

Fax

(419) 573-1944

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Stuart

Title

Partner

Phone

(419) 908-9440

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1154918571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 INDIAN WOOD CIR STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374029",
            "telephone_number": "419-279-8986",
            "fax_number": "419-573-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 INDIAN WOOD CIR STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374029",
            "telephone_number": "419-908-9440",
            "fax_number": "419-573-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS FOR LIFE RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "419-908-9440"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198367",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Freeman
• Adam Freistuhler, QMHS, CDCA
• Jacquelyn French, RBT
• Fresenius Medical Care Maumee Home, LLC
• Melizu Freyre-Martinez, QHMS
• Friends Who Care
• Robert C Friess, DO
• Aaron Frisch, PTA
• Natalie Frost
• Angeline E Frye, CDCA.187487

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maumee, OH
• Providers in Maumee, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.