Active NPI
Frontier Home Health and Hospice, LLC
- Home Health Agency
- Omak, WA
National Provider Identifier
1790027480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 60066213
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790027480 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 1, 2021 | Change of Ownership | Enhabit Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Omak, WA
- NPI 1700477395
Sold to, 2021-06-01
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.