Front Porch Communities and Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FRONT PORCH COMMUNITIES AND SERVICES

Doing business as

Fredericka Manor
Fredericka Manor Care Center

Practice address

111 Third Ave
Chula Vista, CA 91910-1822

Phone

(619) 427-2777

Fax

(619) 427-0394

NPI assigned

Nov 1, 2013

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grant Edelstone

Title

Sr. Director Risk Management

Phone

(925) 956-7360

Specialties & licenses 2

Addresses

Other names 2

• Fredericka Manor Doing business as
• Fredericka Manor Care Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Front Porch Communities and Services

  dba Claremont Manor Care Center

  • Skilled Nursing Facility
  • Claremont, CA
  • NPI 1821174467

  Member Of

  NPD member

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1366871287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 N CALIFORNIA BLVD STE 215",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963566",
            "telephone_number": "415-823-5354",
            "fax_number": "925-956-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101822",
            "telephone_number": "619-427-2777",
            "fax_number": "619-427-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 Third Avenue",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "91910",
            "country_code": "US",
            "telephone_number": "619-205-4100 x4101",
            "fax_number": "619-422-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRONT PORCH COMMUNITIES AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "EDELSTONE",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "SR. DIRECTOR RISK MANAGEMENT",
        "authorized_official_telephone_number": "925-956-7360"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374600802",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredericka Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fredericka Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Bruce Friedman, M.D.
• Jessica Friedman
• Brenna Frigo
• Jakob Emilio Badar Frijas
• Lauren Hanna Frisch, DDS, MS
• Front Porch Communities and Services (Fredericka Manor)
• Front Porch Communities Operating Group LLC (Fredericka Manor Care Center)
• Front Porch Communities Operating Group, LLC (Fredericka Manor)
• Stephanie Froussine
• Ashley Erin Fruner, DPT

• Skilled Nursing Facility in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.