Organization Active NPI

Frontier Home Health and Hospice, LLC

  • Community Based Hospice Care Agency
  • Anchorage, AK
National Provider Identifier
1831595685
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FRONTIER HOME HEALTH AND HOSPICE, LLC
Practice address
3909 Artic Blvd
Anchorage, AK 99503-5770
Phone
(907) 272-1275
Fax
(907) 272-1311
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Martha M Bogucki
Title
Cfo
Phone
(203) 693-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3909 Artic Blvd
Anchorage, AK 99503-5770

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1642061MedicaidAK

Medicare participation

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

National Provider Directory

National Provider Directory

Locations

2411 W Main St
#2A
Bozeman, MT 59718
Phone (406) 219-5388

3810 Valley Commons Dr
Ste 1
Bozeman, MT 59718
Phone (406) 585-1099

501 E Front St
#502
Butte, MT 59701
Phone (406) 723-8933

42 Bruyer Way
Kalispell, MT 59901
Phone (406) 260-4079

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2021 Change of OwnershipThis provider was the seller Enhabit HospiceCCN 021508, AK, NPI 1770175325

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1831595685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 RIVER ST",
            "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": "3909 ARTIC BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035770",
            "telephone_number": "907-272-1275",
            "fax_number": "907-272-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HOME HEALTH AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "BOGUCKI",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-693-3840"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1642061",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.