Organization Active NPI

Frontier Home Health, LLC

  • In Home Supportive Care Agency
  • Pueblo, CO
National Provider Identifier
1306639604
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FRONTIER HOME HEALTH, LLC
Practice address
4718 N Elizabeth St Ste a
Pueblo, CO 81008-2080
Phone
(719) 544-5891
Fax
(719) 544-5895
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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
In Home Supportive Care Agency 253Z00000X 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

Other names 1

  • Frontier Home Health, LLC Other name

National Provider Directory

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

Other organizations with this tax ID 2

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

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1306639604",
    "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",
            "fax_number": "719-544-5895"
        },
        {
            "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",
            "fax_number": "719-544-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "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": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Home Health, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 28, 2025; 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.