Organization Active NPI

Friendly Home Care LLC

  • Home Health Agency
  • Elizabeth, NJ
National Provider Identifier
1417410291
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FRIENDLY HOME CARE LLC
Practice address
333 N Broad St Ste 2a
Elizabeth, NJ 07208-3706
Phone
(732) 203-5700
Fax
(732) 326-2993
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Shani Madaminova
Title
Administrator
Phone
(201) 798-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

333 N Broad St Ste 2a
Elizabeth, NJ 07208-3706

Mailing address

333 N Broad St Ste 2a
Elizabeth, NJ 07208-3706
Phone (732) 203-5700

National Provider Directory

National Provider Directory

Locations

333 N Broad St
Ste 2A
Elizabeth, NJ 07208
Phone (732) 203-5700

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1417410291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N BROAD ST STE 2A",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083706",
            "telephone_number": "732-203-5700",
            "fax_number": "732-326-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N BROAD ST STE 2A",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083706",
            "telephone_number": "732-203-5700",
            "fax_number": "732-326-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "MADAMINOVA",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-798-7600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.