Frontida Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FRONTIDA HOSPICE CARE LLC

Practice address

3609 Smith Barry Rd Ste 106
Pantego, TX 76013-4631

Phone

(909) 559-7455

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Adewale Odukoya, MDNPI 1902268550

Title

President

Phone

(909) 559-7455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adewale Adeyinka Odukoya, MD

  • Emergency Medicine Physician
  • Jackson, TN
  • NPI 1902268550

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1346941275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 SMITH BARRY RD STE 106",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134631",
            "telephone_number": "909-559-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 SMITH BARRY RD STE 106",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134631",
            "telephone_number": "909-559-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIDA HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "ODUKOYA",
        "authorized_official_first_name": "ADEWALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-559-7455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkechi F Ezema, PMHNP-BC
• Faco Healthcare Services
• Family Counseling Center
• Daniel Louis Ferraro, D.D.S
• Nathan James Flesher, DMD
• Stephanie Gallegos, LCSW
• Karmen Gardner
• Godsgrace
• Chunda Renee Greer, LPC
• Lorna Marie Griggs, RN

• Community Based Hospice Care Agency in Pantego, TX
• Providers in Pantego, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.