Provider Demographics
NPI:1275511024
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/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LOFTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-415-2740
Mailing Address - Street 1:PO BOX 2410
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293
Mailing Address - Country:US
Mailing Address - Phone:276-328-2500
Mailing Address - Fax:276-328-3117
Practice Address - Street 1:119 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293
Practice Address - Country:US
Practice Address - Phone:276-328-2500
Practice Address - Fax:276-328-3117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
046289700OtherDEPT OF LABOR/BLACK LUNG
034472OtherBCBS/ANTHEM VA
WV0147422000Medicaid
149374500OtherOWCP
64473OtherABP ADMINISTRATION
VA009133658Medicaid
46499846OtherAETNA
80518OtherNORTHWOOD NPN