Friends at Home Assisted Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9640 Issued in FL

Legal business name

FRIENDS AT HOME ASSISTED LIVING INC.

Doing business as

Friends at Home

Practice address

3680 Canaveral Groves Blvd
Cocoa, FL 32926-6831

Phone

(321) 626-6672

NPI assigned

Mar 29, 2013

Last updated

Aug 30, 2022By 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

Amber Brooks

Title

Access Manager

Phone

(321) 631-4005

Specialties & licenses 1

Addresses

Other names 1

• FRIENDS AT HOME Doing business as

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1255674131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 CANAVERAL GROVES BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329266831",
            "telephone_number": "321-626-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 CANAVERAL GROVES BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329266831",
            "telephone_number": "321-626-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS AT HOME ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "321-631-4005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIENDS AT HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FRIENDS AT HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.