Organization Active NPI

Friendly House, Inc.

  • Voluntary or Charitable Agency
  • Phoenix, AZ
National Provider Identifier
1871664680
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
461509 Issued in AZ
Legal business name
FRIENDLY HOUSE, INC.
Practice address
802 S 1St Ave
Phoenix, AZ 85003-2504
Phone
(602) 257-1870
Fax
(602) 254-3135
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Mr. Raul Espericueta
Title
Ceo
Phone
(602) 416-7214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 461509 AZ Primary

Addresses

Primary practice location

802 S 1St Ave
Phoenix, AZ 85003-2504

Mailing address

802 S 1St Ave
P.O. Box 3695
Phoenix, AZ 85003-2504
Phone (602) 257-1870

Other identifiers 1

IdentifierTypeStateIssuer
461509OtherAZAHCCCS ID

National Provider Directory

National Provider Directory

Locations

802 S 1st Ave
Phoenix, AZ 85003
Phone (602) 257-1870

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1871664680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S 1ST AVE",
            "address_2": "P.O. BOX 3695",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032504",
            "telephone_number": "602-257-1870",
            "fax_number": "602-254-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032504",
            "telephone_number": "602-257-1870",
            "fax_number": "602-254-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "ESPERICUETA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-416-7214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AZ",
            "license": "461509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS ID",
            "identifier": "461509",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.