Friends Fellowship Community, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

07-001128-1 Issued in IN

Legal business name

FRIENDS FELLOWSHIP COMMUNITY, INC.

Practice address

2030 Chester Blvd
Richmond, IN 47374-1215

Phone

(765) 962-6546

Fax

(765) 962-9188

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John C. Robinson

Title

VP Finance & Development

Phone

(765) 962-6546

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1427215706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741215",
            "telephone_number": "765-962-6546",
            "fax_number": "765-962-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741215",
            "telephone_number": "765-962-6546",
            "fax_number": "765-962-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS FELLOWSHIP COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP FINANCE & DEVELOPMENT",
        "authorized_official_telephone_number": "765-962-6546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "07-001128-1",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IN",
            "license": "07-001128-1",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "07-001128-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Franck
• Eric Frayer
• Tyler Brooks Fredenburg, MD
• Joshua R French, M.D.
• Fresh Fruits
• Constance Frye Alsup
• Hana Fudge, RBT
• Emma Fugate
• Courtney Lynn Fullmer, PMHNP
• Mason Fulton

• Nursing Facility/Intermediate Care Facility in Richmond, IN
• Providers in Richmond, IN by specialty
• Nursing Facility/Intermediate Care Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.