Provider Demographics
NPI:1023985892
Name:FRONT PORCH COMMUNITIES AND SERVICES
Entity type:Organization
Organization Name:FRONT PORCH COMMUNITIES AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR DIR REGULATORY & LICENSING
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:EDELSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-322-9487
Mailing Address - Street 1:849 COAST BLVD
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4293
Mailing Address - Country:US
Mailing Address - Phone:858-454-2151
Mailing Address - Fax:
Practice Address - Street 1:849 COAST BLVD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4293
Practice Address - Country:US
Practice Address - Phone:858-454-2151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility