Provider Demographics
NPI:1740609734
Name:FRONTIER HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:FRONTIER HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLEMENT
Authorized Official - Middle Name:ABAYOMI
Authorized Official - Last Name:AKOSILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-751-8884
Mailing Address - Street 1:1642 BRICE RD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2702
Mailing Address - Country:US
Mailing Address - Phone:614-751-8884
Mailing Address - Fax:614-751-8804
Practice Address - Street 1:1642 BRICE RD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2702
Practice Address - Country:US
Practice Address - Phone:614-751-8884
Practice Address - Fax:614-751-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3153233251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1821209040Medicare UPIN