Provider Demographics
NPI:1932864782
Name:FRAZIER HOME HEALTHCARE
Entity Type:Organization
Organization Name:FRAZIER HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONJIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:314-391-7831
Mailing Address - Street 1:2940 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63106-1823
Mailing Address - Country:US
Mailing Address - Phone:314-391-7837
Mailing Address - Fax:
Practice Address - Street 1:2940 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1823
Practice Address - Country:US
Practice Address - Phone:314-391-7837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-07
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty