FRIENDSHIP VILLAGE AT HOME, LLC is a home health in Saint Louis, MO. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. FRIENDSHIP VILLAGE AT HOME, LLC NPI is 1609381045. The provider is registered as an organization entity type.
The provider's business location address is:
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO
ZIP 63127-758
Phone: (314) 270-7333
The provider's authorized official is James Terry Walsh .
The authorized official title is Chief Executive Officer and has the following contact phone number (314) 270-7150.
The CLIA number assigned to this NPI record is 26D0439723 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/7/2017 and was last updated on 1/5/2018.