Friendship Village Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FRIENDSHIP VILLAGE INC.

Practice address

312 Southbrooke Dr
Waterloo, IA 50702-5804

Phone

(319) 291-3500

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Sherry Turner, BSN

Title

VP Health Care Services

Phone

(319) 291-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeview Lodge Other name

Electronic endpoints 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

Tax ID family

Friendship Village Inc2 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.

• Friendship Village Inc.

  • Skilled Nursing Facility
  • Waterloo, IA
  • NPI 1639348873
  NPD tax ID

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1164089157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025200",
            "telephone_number": "319-291-8100",
            "fax_number": "319-291-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SOUTHBROOKE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025804",
            "telephone_number": "319-291-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP VILLAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "VP HEALTH CARE SERVICES",
        "authorized_official_telephone_number": "319-291-8100",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639348873",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sturner@fvrc.com",
            "affiliation": "N",
            "endpointDescription": "STurner email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "312 Southbrooke Dr",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507025804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lakeview Lodge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michele L. Friedman, A.R.N.P.
• Robert L Friedman, M.D.
• Thomas G Friedman, DDS
• Friends at Home
• Friends of Faith Retirement Homes, Inc.
• Friendship Village Inc.
• Eric Michael Frost, RN
• Alyssa Kay Fruchtenicht, LMSW
• Robert William Fuelling, D.C.
• Aralis Fuentes Martinez, MD

• Assisted Living Facility in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.