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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2015
- Organization subpart
- Yes
- Parent organization
- FRONT PORCH COMMUNITIES AND SERVICES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
dba Claremont Manor Care Center
- Skilled Nursing Facility
- Claremont, CA
- NPI 1821174467
Member Of
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
- Brenna Frigo
- Jakob Emilio Badar Frijas
- Lauren Hanna Frisch, DDS, MS
- Front Porch Communities and Services (Fredericka Manor)
- Front Porch Communities and Services (Fredericka Manor)
- Front Porch Communities Operating Group, LLC (Fredericka Manor)
- Stephanie Froussine
- Ashley Erin Fruner, DPT
- Kendall Fryer, PA
- Marysol Fuentes-West, MA, MFT
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.