Provider Demographics
NPI:1144426552
Name:FRONTIER COMMUNITY SERVICES
Entity Type:Organization
Organization Name:FRONTIER COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARCARO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:740-772-1396
Mailing Address - Street 1:12127 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9785
Mailing Address - Country:US
Mailing Address - Phone:740-772-1396
Mailing Address - Fax:740-772-1394
Practice Address - Street 1:12127 PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9785
Practice Address - Country:US
Practice Address - Phone:740-772-1396
Practice Address - Fax:740-772-1394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
OH0886135251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH411392OtherOHIO DEPARTMENT OF AGING
OH7100158OtherOHIO DEPARTMENT MRDD
OH0194957Medicaid