Provider Demographics
NPI:1750314597
Name:FRONTIER NURSING HEALTHCARE
Entity Type:Organization
Organization Name:FRONTIER NURSING HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-253-3637
Mailing Address - Street 1:170 PROSPEROUS PL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1803
Mailing Address - Country:US
Mailing Address - Phone:859-253-3637
Mailing Address - Fax:859-281-6783
Practice Address - Street 1:170 PROSPEROUS PL
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1803
Practice Address - Country:US
Practice Address - Phone:829-253-3637
Practice Address - Fax:859-281-6783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7434Medicare PIN
KY7430Medicare PIN
KY7431Medicare PIN
KY9340Medicare PIN
KY9615Medicare PIN