Provider Demographics
NPI:1588022727
Name:FRONT PAGE FAME LLC
Entity Type:Organization
Organization Name:FRONT PAGE FAME LLC
Other - Org Name:FUNDAMENTAL HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CO-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELADY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, MSW
Authorized Official - Phone:731-203-0708
Mailing Address - Street 1:541 WILEY PARKER RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-2226
Mailing Address - Country:US
Mailing Address - Phone:731-203-0708
Mailing Address - Fax:
Practice Address - Street 1:115 DIRECTORS ROW
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2316
Practice Address - Country:US
Practice Address - Phone:731-203-0708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty