Organization Active NPI

CJ Frontline, LLC

Doing business as Interim Healthcare

  • Home Health Agency
  • San Rafael, CA
National Provider Identifier
1992152151
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CJ FRONTLINE, LLC
Doing business as
Interim Healthcare
Practice address
101 Lucas Valley Rd
Suite 236
San Rafael, CA 94903-1791
Phone
(415) 521-6847
Fax
(415) 729-1691
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Chloe Yuk Ting Heung
Title
Vice President
Phone
(415) 521-6847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 Lucas Valley Rd
Suite 236
San Rafael, CA 94903-1791

Mailing address

PO Box 6029
San Rafael, CA 94903-0029
Phone (415) 521-6847

Other names 1

  • Interim Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

101 Lucas Valley Rd
Ste 236
San Rafael, CA 94903
Phone (415) 521-6847

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1992152151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6029",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949030029",
            "telephone_number": "415-521-6847",
            "fax_number": "415-729-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LUCAS VALLEY RD",
            "address_2": "SUITE 236",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031791",
            "telephone_number": "415-521-6847",
            "fax_number": "415-729-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ FRONTLINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "YUK TING HEUNG",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "415-521-6847"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.