Provider Demographics
NPI:1134107808
Name:FRIENDSHIP HOME HEALTH INC
Entity type:Organization
Organization Name:FRIENDSHIP HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LOFTIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:843-609-5733
Mailing Address - Street 1:119 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-5404
Mailing Address - Country:US
Mailing Address - Phone:276-328-2500
Mailing Address - Fax:276-328-3117
Practice Address - Street 1:BEN BOLT PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:VA
Practice Address - Zip Code:24651
Practice Address - Country:US
Practice Address - Phone:276-988-7911
Practice Address - Fax:276-988-4942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4649846OtherAETNA
80520OtherNORTHWOOD NPN
147034OtherBCBS/ANTHEM VA
VA009133658Medicaid
046289700OtherDEPT OF LABOR/BLACK LUNG
20093OtherABP ADMINISTRATION
149374500OtherOWCP
WV0147422000Medicaid