Organization Active NPI

Forever Friends Inc

  • Home Health Aide
  • Riviera Beach, FL
National Provider Identifier
1255084620
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
FOREVER FRIENDS INC
Practice address
1933 Hibiscus LN
Riviera Beach, FL 33404-1872
Phone
(561) 537-0222
Fax
(229) 233-4329
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Lazendre Jackson, HHANPI 1447915103
Title
Ceo
Phone
(561) 537-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1933 Hibiscus LN
Riviera Beach, FL 33404-1872

Mailing address

1933 Hibiscus LN
Riviera Beach, FL 33404-1872
Phone (561) 537-0222

Other identifiers 1

IdentifierTypeStateIssuer
112157300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1255084620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 HIBISCUS LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041872",
            "telephone_number": "561-537-0222",
            "fax_number": "229-233-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 HIBISCUS LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041872",
            "telephone_number": "561-537-0222",
            "fax_number": "229-233-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER FRIENDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAZENDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-537-0222",
        "authorized_official_credential": "HHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112157300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.