Organization Active NPI

Friendly Faces Home and Companion Care

  • Home Health Agency
  • St Augustine, FL
National Provider Identifier
1427787050
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FRIENDLY FACES HOME AND COMPANION CARE
Doing business as
Friendly faces home and companion care
Practice address
225 Old Village Center Cir Unit 4102
St Augustine, FL 32084-5806
Phone
(904) 755-9424
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Ms. Lakisha S RiversNPI 1508535790
Title
Owner/Ceo
Phone
(904) 755-9424

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

225 Old Village Center Cir Unit 4102
St Augustine, FL 32084-5806

Mailing address

225 Old Village Center Cir Unit 4102
St Augustine, FL 32084-5806
Phone (904) 755-9424

Other identifiers 1

IdentifierTypeStateIssuer
113031200MedicaidFL

Other names 1

  • Friendly faces home and companion care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1427787050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OLD VILLAGE CENTER CIR UNIT 4102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845806",
            "telephone_number": "904-755-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OLD VILLAGE CENTER CIR UNIT 4102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845806",
            "telephone_number": "904-755-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY FACES HOME AND COMPANION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-755-9424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113031200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendly faces home and companion care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.