Friendly Neighbor Healthcare, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Albion, NE

NPI 1194170480 · NPPES record last updated Jul 27, 2017

Key facts

NPI
1194170480
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
FRIENDLY NEIGHBOR HEALTHCARE, LLC
Practice address
245 S 4TH St
Albion, NE 68620-1217
Phone
(402) 395-2184
Fax
(402) 395-2185
NPI assigned
Apr 25, 2016
Organization subpart
Yes
Parent organization (as reported)
FRIENDLY NEIGHBOR HEALTHCARE, LLC

Authorized official

Name
Mr. Kurt J Carraher
Title
Owner/Manager
Phone
(402) 395-2184

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170914000191 NE DME Supplier - Medical Supply Company 6507139706 Practice locations: Albion, NE

National Provider Directory

Part of
Friendly Neighbor Healthcare LLC

Locations

245 S 4th St
Albion, NE 68620
Phone (402) 395-2184

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

245 S 4TH St
Albion, NE 68620-1217

Mailing address

245 S 4TH St
Albion, NE 68620-1217
Phone (402) 395-2184

Other identifiers

IdentifierTypeStateIssuer
10026660803MedicaidNE

Other names

  • Wells Drug Home Health Care Doing business as

Other providers in Albion, NE

All providers in Albion, NE · Durable Medical Equipment & Medical Supplies in Nebraska

Sources for this page

Verify at the official NPI Registry.