Frontier Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FRONTIER HAVEN LLC

Practice address

906 E Frontier St
Payson, AZ 85541-5709

Phone

(928) 978-9191

NPI assigned

Dec 22, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Keri Jean Egbert

Title

Managing Member

Phone

(928) 978-9191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1982569877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 W BARRANCA RD",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855416681",
            "telephone_number": "928-978-9191",
            "fax_number": "928-978-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E FRONTIER ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415709",
            "telephone_number": "928-978-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "928-978-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Slade Ford, O.D.
• Brandon J French
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• Frontier Dental Arts
• Frontier Dental Arts, P.C.
• Brian M Gabbert, D.C.
• Nicholas Connor Galvin, DO
• Tara Gann, NP
• Gastroenterology of Arizona, PLLC
• Thomas Gates, RPH

• Assisted Living Facility in Payson, AZ
• Providers in Payson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.