A Family Friend LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A FAMILY FRIEND LLC

Practice address

702 N Person St
Raleigh, NC 27604-1216

Phone

(919) 626-4917

NPI assigned

Apr 14, 2020

Organization subpart

No

Name

Kimble BreazellNPI 1639701147

Title

Ceo/ Founder

Phone

(919) 626-4917

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

• Kimble Breazell

  • Home Health Aide
  • Raleigh, NC
  • NPI 1639701147
  NPD Authorized official

• A Family Friend Home Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2020.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1336768811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 BAY RUM LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106333",
            "telephone_number": "919-626-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N PERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041216",
            "telephone_number": "919-626-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FAMILY FRIEND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "BREAZELL",
        "authorized_official_first_name": "KIMBLE",
        "authorized_official_title_or_position": "CEO/ FOUNDER",
        "authorized_official_telephone_number": "919-626-4917"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Family Friend Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.