Active NPI
Homefront Home Health LLC
- Home Health Agency
- Fort Wayne, IN
National Provider Identifier
1225826845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOMEFRONT HOME HEALTH LLC
- Doing business as
- Homefront Home Health
- Practice address
- 6821 Lima Rd
Fort Wayne, IN 46818-1145 - Phone
- (260) 363-0461
- Fax
- (260) 704-3922
- NPI assigned
- Apr 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Drew D Botteron, MBA
- Title
- Ceo
- Phone
- (260) 363-0461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6821 Lima Rd
Fort Wayne, IN 46818-1145
Mailing address
6821 Lima Rd
Fort Wayne, IN 46818-1145
Phone (260) 363-0461
Other names 1
- Homefront Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Home health agency certification: CCN 15K168
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Homefront Home Health LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 24, 2018
- Last certification
- Aug 24, 2018
- Ownership / control type
- Non-Profit
- Most recent change of ownership
- Apr 14, 2025
- Facility address
- 6821 Lima Road
Fort Wayne, IN 46818
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1225826845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6821 LIMA RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468181145",
"telephone_number": "260-363-0461",
"fax_number": "260-704-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6821 LIMA RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468181145",
"telephone_number": "260-363-0461",
"fax_number": "260-704-3922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMEFRONT HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-25",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "BOTTERON",
"authorized_official_first_name": "DREW",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "260-363-0461",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Homefront Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.