A Friendly Neighbor Home Care LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

A FRIENDLY NEIGHBOR HOME CARE LLC

Practice address

4500 Mercantile Plaza Dr Ste 300
Ft Worth, TX 76137-4206

Phone

(816) 255-7920

NPI assigned

May 10, 2017

Last updated

Apr 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaunta Parker

Title

Owner

Phone

(816) 255-7920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1649706722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 300",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761374206",
            "telephone_number": "816-255-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 300",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761374206",
            "telephone_number": "816-255-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FRIENDLY NEIGHBOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SHAUNTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-255-7920"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Fort Worth, TX
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• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.