Provider Demographics
NPI:1093108466
Name:HOMEFRONT GROUP INC.
Entity Type:Organization
Organization Name:HOMEFRONT GROUP INC.
Other - Org Name:HOMEFRONT MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:AGOBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-771-1812
Mailing Address - Street 1:12124 SHERATON LN
Mailing Address - Street 2:SUITE 286
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-1618
Mailing Address - Country:US
Mailing Address - Phone:513-771-1812
Mailing Address - Fax:513-771-1816
Practice Address - Street 1:12124 SHERATON LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-1618
Practice Address - Country:US
Practice Address - Phone:513-771-1812
Practice Address - Fax:513-771-1816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health