Organization Active NPI

Frontier Home Health, LLC

  • Home Health Agency
  • Pueblo, CO
National Provider Identifier
1114552288
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FRONTIER HOME HEALTH, LLC
Practice address
4718 N Elizabeth St Ste a
Pueblo, CO 81008-2080
Phone
(719) 544-5891
NPI assigned
Mar 9, 2020
Organization subpart
Yes
Parent organization
FRONTIER HOME HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Larry D Russell
Title
Ceo
Phone
(719) 544-5891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4718 N Elizabeth St Ste a
Pueblo, CO 81008-2080

Mailing address

4718 N Elizabeth St Ste a
Pueblo, CO 81008-2080
Phone (719) 544-5891

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pueblo Direct

National Provider Directory

National Provider Directory
Tax ID family
Frontier Home Health LLC3 organizations share this tax ID, including this one
Part of
Frontier Home Health LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1114552288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 N ELIZABETH ST STE A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082080",
            "telephone_number": "719-544-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 N ELIZABETH ST STE A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082080",
            "telephone_number": "719-544-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HOME HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONTIER HOME HEALTH, LLC",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-544-5891"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pueblo",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4718 N Elizabeth St Ste A",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810082080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.