- Enrollment id
- O20210304002731
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1215546270
- Multiple npi flag
- N
- Ccn
- 559771
- Associate id
- 5092121665
- Organization name
- FRONTIER HOME HEALTH CARE INC
- Incorporation date
- 2020-05-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 15720 VENTURA BLVD
- Address line 2
- STE 307
- City
- ENCINO
- State
- CA
- Zip code
- 914362914