Provider Demographics
NPI:1467487785
Name:FRONTIER LEASING MANAGEMENT LC
Entity type:Organization
Organization Name:FRONTIER LEASING MANAGEMENT LC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:801-589-9311
Mailing Address - Street 1:6271 DIXIE DR
Mailing Address - Street 2:STE 200
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84084-1000
Mailing Address - Country:US
Mailing Address - Phone:801-967-9207
Mailing Address - Fax:801-967-9397
Practice Address - Street 1:383 W VINE ST
Practice Address - Street 2:STE 300
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-4745
Practice Address - Country:US
Practice Address - Phone:800-486-2186
Practice Address - Fax:801-233-6110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY NURSING SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-12
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5821673163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========003Medicaid
467216Medicare ID - Type Unspecified