Organization Active NPI

Frontier Home Health and Hospice, LLC

  • Home Health Agency
  • Omak, WA
National Provider Identifier
1790027480
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
60066213 Issued in WA
Legal business name
FRONTIER HOME HEALTH AND HOSPICE, LLC
Practice address
800 Jasmine St
Suite 2
Omak, WA 98841-9501
Phone
(509) 422-6721
Fax
(509) 422-1835
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 60066213 WA Primary

Addresses

Primary practice location

800 Jasmine St
Suite 2
Omak, WA 98841-9501

Mailing address

53 River St
Yankee Professional Building
Milford, CT 06460-3346
Phone (203) 693-3840

Other identifiers 1

IdentifierTypeStateIssuer
1790027480MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2021 Change of OwnershipThis provider was the seller Enhabit Home HealthCCN 507038, WA, NPI 1700477395

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1790027480",
    "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 2",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419501",
            "telephone_number": "509-422-6721",
            "fax_number": "509-422-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HOME HEALTH AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2014-02-14",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "60066213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790027480",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

Verify at the official NPI Registry.