Friendship Care Home

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

079200318 Issued in CA

Legal business name

FRIENDSHIP CARE HOME

Practice address

1907 Cavallo Rd
Antioch, CA 94509-2713

Phone

(925) 732-7364

Fax

(925) 732-7196

NPI assigned

Apr 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Deepak Dhawan, MD

Title

President

Phone

(510) 996-8521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1437512571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 CAVALLO RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092713",
            "telephone_number": "925-732-7364",
            "fax_number": "925-732-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 CAVALLO RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092713",
            "telephone_number": "925-732-7364",
            "fax_number": "925-732-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "DHAWAN",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-996-8521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "079200318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Todd M Frigard, DC
• John William Durk Frye III, PHD
• Pascal R. Fuchshuber, MD
• Maurice Fulcher Sr., RADT

• Assisted Living Facility (Behavioral Disturbances) in Antioch, CA
• Providers in Antioch, CA by specialty
• Assisted Living Facility (Behavioral Disturbances) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.