Frontline Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FRONTLINE HEALTHCARE LLC

Practice address

9933 Lawler Ave Ste 215
Skokie, IL 60077-3757

Phone

(847) 312-2649

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Maria Tanya B Foronda

Title

Administrator

Phone

(847) 312-2649

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148409

Legal name

FRONTLINE HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 2, 2023

Last certification

Oct 12, 2023

Organization structure

LLCProprietary

Incorporated

May 28, 2020 in IL

Enrollment address

9933 Lawler Ave
Ste 215
Skokie, IL 60077-3757

Listed as

Frontline Healthcare, LLCCCN 148409

Overall star rating

3 of 5

Ownership

-

Certified

Nov 2, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 5

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

• Wilfredo Garduque Dacuycuy, M.D.

  • Family Medicine Physician
  • North Chicago, IL
  • NPI 1407818545
  NPD
• Jose Mario R. Flores, MD

  • Family Medicine Physician
  • Oak Forest, IL
  • NPI 1568530400
  NPD
• Alejandro Rarang, M.D.

  • General Practice Physician
  • Chicago, IL
  • NPI 1063534121
  NPD
• Rolando Salvatierra Sajor, MD

  • General Practice Physician
  • Chicago, IL
  • NPI 1649347881
  NPD
• January Ayson Imbuido, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Batavia, IL
  • NPI 1447077219
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ronald E Sam, D.O.

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1073537643

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1952909996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 215",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 215",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773757",
            "telephone_number": "847-312-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "FORONDA",
        "authorized_official_first_name": "MARIA TANYA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-312-2649"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@frontlinehh.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9933 Lawler Ave Ste 215",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600773757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Friedman, PSYD
• Nancy A Friedman, PSY.D.
• Robert Alan Friedstat, DDS
• Kelly Joan Fritz
• Ursula T. Fromm, BC-HIS
• Sarah Fry, MOT, OTR/L
• Barbara Fudali, PT
• Irma E Funes, ANP
• Beth Funk, PSY.D.
• Emma Furman

• Home Health Agency in Skokie, IL
• Providers in Skokie, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.