Frontier Travel, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FRONTIER TRAVEL, LLC

Practice address

190 N Park St Apt 2
East Orange, NJ 07017-1820

Phone

(973) 445-5950

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Melody Bundy

Title

President

Phone

(973) 445-5950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Frontier Travel Former legal business name

Tax ID family

Frontier Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Frontier Travel, LLC

  • In Home Supportive Care Agency
  • East Orange, NJ
  • NPI 1780181891
  NPD tax ID

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1659874402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N PARK ST APT 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171820",
            "telephone_number": "973-445-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N PARK ST APT 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171820",
            "telephone_number": "973-445-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER TRAVEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-445-5950"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143785417",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Travel",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Torencia Freso, RD
• Rachel Freundlich
• Nancy Friedman, PH.D.
• Josephine Pokuaa Frimpong, MSN-NP-C
• Frontier Travel LLC
• Frontier Travel, LLC
• Ronald Curtis Fudge, PH.D.
• Gabriel Fuentes
• Marcia Doreen Fullwood, ANP/GNP
• Carolyn Fynn-Ankumah

• In Home Supportive Care Agency in East Orange, NJ
• Providers in East Orange, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.