FRIENDLY CARE AGENCY LLC NPI 1194172783

NPI Information

  • NPI: 1194172783
  • Provider Name: FRIENDLY CARE AGENCY LLC
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 4480 RIVERSIDE DR STE 20
    MACON, GA
    ZIP 31210
  • Phone: (478) 216-8250

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NPI Details

FRIENDLY CARE AGENCY LLC is an in home supportive care in Macon, GA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. FRIENDLY CARE AGENCY LLC NPI is 1194172783. The provider is registered as an organization entity type.

The provider's business location address is:

4480 RIVERSIDE DR STE 20
MACON, GA
ZIP 31210-363
Phone: (478) 216-8250

The provider's authorized official is Quantez D Parks .
The authorized official title is Assistant Administrator and has the following contact phone number (478) 216-8250.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

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This page was last updated on: 11/21/2025

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