Friendship Home of Monroe, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-090-005 Issued in NC

Legal business name

FRIENDSHIP HOME OF MONROE, INC.

Doing business as

Friendship Home, Inc.

Practice address

2111 Stafford Street Ext
Monroe, NC 28110-9650

Phone

(704) 289-4144

Fax

(704) 292-7742

NPI assigned

Mar 23, 2008

Last updated

Mar 23, 2008By 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

Mr. Gary Carlson Locklear

Title

Exec. Director

Phone

(704) 289-4144

Specialties & licenses 1

Addresses

Other names 1

• FRIENDSHIP HOME, INC. Doing business as

Locations

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206230400000",
    "number": "1194996710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 STAFFORD STREET EXT",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281109650",
            "telephone_number": "704-289-4144",
            "fax_number": "704-292-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 STAFFORD STREET EXT",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281109650",
            "telephone_number": "704-289-4144",
            "fax_number": "704-292-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HOME OF MONROE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-23",
        "last_updated": "2008-03-23",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CARLSON",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "704-289-4144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-090-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIENDSHIP HOME, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Amanda Freeman, M.S., CCC-SLP
• Sarise B. Freiman, MD
• Abigail Rae Fremer, OTR/L
• Fresh Start Youth Services, Inc.
• Thomas C Friedrich, MD
• Travis Michael Fry
• Full Circle Pediatric Therapy
• Marlon Monty Fuller, PHARMD
• Trista L Fusco, PT
• G Abrams & R Cohen Xiii PC

• Community/Behavioral Health Agency in Monroe, NC
• Providers in Monroe, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; 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.