Organization · Type 2 NPI

Friends Assoc of Services for the Elderly

Assisted Living Facility · Santa Rosa, CA

NPI number 1508942111 Active

Practice location

684 Benicia Drive
Santa Rosa, CA 95409-3058

Fax (707) 573-4528

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1508942111
Entity type: Organization (Type 2)
Issued: Oct 27, 2006
Last updated: Jul 29, 2021
Status: Active
Subpart: Yes of Front Porch Communities and Services

Other names

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Friends House · doing business as
Friends House · doing business as

Authorized official

Grant Edelstone
Sr. Director Risk Management
(925) 956-7360

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508942111

Friends Assoc of Services for the Elderly's National Provider Identifier is 1508942111, issued on Oct 27, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 29, 2021.