Provider Demographics
NPI:1447821772
Name:FRONTIDA HOME SOLUTIONS LLC
Entity type:Organization
Organization Name:FRONTIDA HOME SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:N
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-464-9616
Mailing Address - Street 1:9507 GROVEDALE CIR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4184
Mailing Address - Country:US
Mailing Address - Phone:813-464-9616
Mailing Address - Fax:
Practice Address - Street 1:9507 GROVEDALE CIR UNIT 201
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4184
Practice Address - Country:US
Practice Address - Phone:813-464-9616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care