FRIENDLY HOUSE, INC. (NPI# 1871664680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871664680 |
| Entity Type | Organization |
| Organization Name | FRIENDLY HOUSE, INC. |
| Practice Address |
802 S 1st Ave Phoenix AZ 85003-2504 |
| Mailing Address |
802 S 1st Ave P.o. Box 3695 Phoenix AZ 85003-2504 |
| Practice Telephone | 6022571870 |
| Practice Fax Number | 6022543135 |
| Mailing Telephone | 6022571870 |
| Mailing Fax Number | 6022543135 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | MR. RAUL ESPERICUETA (CEO) |
| Authorized Official Telephone | 6024167214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | 461509 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS ID | 461509 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FRIENDLY HOUSE, INC. | 2617 Nw Savier St, Portland, OR 97210 |
| Street Address |
802 S 1ST AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518457290 | Raising Special Kids | Voluntary or Charitable | 5025 E Washington St Ste 204, Phoenix, AZ 85034-7439 | 2018-05-17 |
| 1174885271 | Music Therapy Matters | Voluntary or Charitable | 625 W Deer Valley Rd Ste 103310, Phoenix, AZ 85027-2185 | 2012-06-13 |
| 1467710723 | Seeds for Autism | Voluntary or Charitable | 711 N 15th Ave, Phoenix, AZ 85007-2251 | 2012-04-24 |
| 1851623169 | Ronald Mcdonald House Charities of Phoenix | Voluntary or Charitable | 501 E Roanoke Ave, Phoenix, AZ 85004-1013 | 2010-02-11 |
| 1255538732 | Family Service Agency | Voluntary or Charitable | 10220 N 31st Ave Ste 103-105, Phoenix, AZ 85051-9581 | 2007-06-28 |
| 1255547444 | Lifewell Behavioral Wellness | Voluntary or Charitable | 119 W. Highland Avenue, Phoenix, AZ 85013-4707 | 2007-05-15 |
| 1639290471 | Area Agency On Aging, Region One, Inc | Voluntary or Charitable | 1366 E Thomas Rd, Suite 108, Phoenix, AL 85014 | 2007-04-02 |
| 1366574279 | Life Choices Womens Clinic | Voluntary or Charitable | 9303 N 7th Street, Suite 4, Phoenix, AZ 85020 | 2007-03-09 |
| 1154471175 | New Arizona Family, Inc | Voluntary or Charitable | 2019 N 25th Pl, Phoenix, AZ 85008-2774 | 2007-01-11 |
| 1821178732 | New Arizona Family, Inc | Voluntary or Charitable | 302 E Southern Ave, Phoenix, AZ 85040-3044 | 2006-10-16 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.