Organization Active NPI

Frontier Home Health Care, Inc.

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1215546270
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FRONTIER HOME HEALTH CARE, INC.
Practice address
15720 Ventura Blvd Ste 307
Encino, CA 91436-2914
Phone
(818) 922-2444
NPI assigned
Jul 27, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Lyudmila Nazarova
Title
Ceo
Phone
(818) 922-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

15720 Ventura Blvd Ste 307
Encino, CA 91436-2914

Mailing address

15720 Ventura Blvd Ste 307
Encino, CA 91436-2914
Phone (818) 922-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304002731 CA Part A Provider - Home Health Agency 5092121665 Practice locations: Encino, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215546270. Details of each certification follow.

Home health agency certification: CCN 559771

Legal name
FRONTIER HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 3, 2021
Last certification
Jun 3, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 14, 2020 in CA
Enrollment address
15720 Ventura Blvd
Ste 307
Encino, CA 91436-2914

Care Compare: Home health agency

Medicare Care Compare
Listed as
Frontier Home Health Care, Inc.CCN 559771 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 3, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

15720 Ventura Blvd
Ste 307
Encino, CA 91436
Phone (818) 922-2444

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lyudmila Nazarova Individual 5% Or Greater Direct Ownership Interest May 14, 2020 100%
Corporate OfficerCeo May 14, 2020 100%
Corporate DirectorCeo May 14, 2020 100%
W-2 Managing EmployeeCeo May 14, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1215546270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 307",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-922-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 307",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-922-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "NAZAROVA",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-922-2444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.