Front Line Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FRONT LINE HOME HEALTH CARE INC

Practice address

26645 W 12 Mile Rd Ste 210
Southfield, MI 48034-7812

Phone

(248) 466-0015

Fax

(248) 466-0014

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Abdul Jabbar

Title

Owner

Phone

(248) 466-0015

Specialties & licenses 1

Addresses

Other names 1

• FRONT LINE HOME HEALTH CARE INC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 239327

Legal name

FRONT LINE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 28, 2020

Last certification

Dec 28, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

26645 W 12 Mile Rd
Ste 210
Southfield, MI 48034-7812
HHA Branch

Listed as

Front Line Home Health CareCCN 239327

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Dec 28, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 1

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

• Samina Ansar Ghazi, M.D.

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1992754980

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1396355533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26645 W 12 MILE RD STE 210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347812",
            "telephone_number": "248-466-0015",
            "fax_number": "248-466-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26645 W 12 MILE RD STE 210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347812",
            "telephone_number": "248-466-0015",
            "fax_number": "248-466-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT LINE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "JABBAR",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-466-0015"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.AXXESSWEB.COM",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26645 W 12 Mile Rd Ste 210",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480347812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRONT LINE HOME HEALTH CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Friends of Vision Interpersonal Services
• Friends With Solutions LLC
• Kelli Fritz, DO
• Gavin Frody
• Front Line Counseling Services, PLLC
• Danielle Nicole Frontiera, REGISTERED DIETITIAN
• John Glen Frownfelter, MD
• Wasan Frownfelter, PA
• FS Complete Transportation Services, LLC
• April Dawn Fuentes, RN

• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.