Frontier Home Health and Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

60077040 Issued in WA

Legal business name

FRONTIER HOME HEALTH AND HOSPICE, LLC

Practice address

800 Jasmine St
Suite 3
Omak, WA 98841-9501

Phone

(509) 422-8621

Fax

(509) 422-0131

NPI assigned

Mar 27, 2013

Last updated

Feb 13, 2014By 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

Judith B Gessford

Title

Director of Reimbursement

Phone

(203) 693-3840

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Caresouth HHA Holdings of Washington, LLC

  dba Enhabit Hospice

  • Community Based Hospice Care Agency
  • Omak, WA
  • NPI 1609467299

  Sold to, 2021-06-01

  CMS change of ownership

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1619219714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 RIVER ST",
            "address_2": "YANKEE PROFESSIONAL BUILDING",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603346",
            "telephone_number": "203-693-3840",
            "fax_number": "203-693-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JASMINE ST",
            "address_2": "SUITE 3",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419501",
            "telephone_number": "509-422-8621",
            "fax_number": "509-422-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HOME HEALTH AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "GESSFORD",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "203-693-3840"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": "60077040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619219714",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane N Foreman
• Kai Forgach
• Nikita Jean Foster, SLP
• Shayne Dianne Freeman, BA
• Rhonda Lynn Friedlander, M.S.CCC-SLP
• Frontier Home Health and Hospice, LLC
• Full Circle Health and Wellness Center PLLP
• Erica C Garcia
• Jacob D Gates, PTA
• Melonie George, CPC, RC, MHCP

• Community Based Hospice Care Agency in Omak, WA
• Providers in Omak, WA by specialty
• Community Based Hospice Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.

Verify at the official NPI Registry.