Organization Active NPI

Front Porch Communities Operating Group LLC

Doing business as Fredericka Manor Care Center

  • Skilled Nursing Facility
  • Chula Vista, CA
National Provider Identifier
1720335789
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRONT PORCH COMMUNITIES OPERATING GROUP LLC
Doing business as
Fredericka Manor Care Center
Practice address
111 3Rd Ave
Chula Vista, CA 91910-1822
Phone
(619) 427-2777
Fax
(619) 427-0394
NPI assigned
Aug 9, 2012
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
FRONT PORCH COMMUNITIES AND SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Roberta Jacobsen
Title
President
Phone
(818) 254-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

111 3Rd Ave
Chula Vista, CA 91910-1822

Mailing address

800 N Brand Blvd FL 19
Glendale, CA 91203-1231
Phone (818) 254-4100

Other names 1

  • Fredericka Manor Care Center Doing business as

National Provider Directory

National Provider Directory
Part of
Front Porch Communities and Services

Member of 1

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

Locations

111 Third Ave
Chula Vista, CA 91910
Phone (619) 427-2777

800 N Brand Blvd
Fl 19
Glendale, CA 91203

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1720335789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N BRAND BLVD FL 19",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031231",
            "telephone_number": "818-254-4100",
            "fax_number": "818-254-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101822",
            "telephone_number": "619-427-2777",
            "fax_number": "619-427-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT PORCH COMMUNITIES OPERATING GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONT PORCH COMMUNITIES AND SERVICES",
        "enumeration_date": "2012-08-09",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-254-4100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredericka Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.