Active NPI
Forever Friends Inc
- Home Health Aide
- Riviera Beach, FL
National Provider Identifier
1255084620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lazendre Jackson, HHA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112157300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Homemaker
- Riviera Beach, FL
- NPI 1447915103
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.