Provider Demographics
NPI:1518566074
Name:FRONTLINE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:FRONTLINE HOME HEALTH CARE, INC.
Other - Org Name:FRONTLINE HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:CLEDERA
Authorized Official - Last Name:CORRAL
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:916-618-4917
Mailing Address - Street 1:9198 GREENBACK LN STE 101
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4770
Mailing Address - Country:US
Mailing Address - Phone:916-618-4917
Mailing Address - Fax:916-618-4915
Practice Address - Street 1:9198 GREENBACK LN STE 101
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4770
Practice Address - Country:US
Practice Address - Phone:916-618-4917
Practice Address - Fax:916-618-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-25
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health