Healthcare Provider Details
I. General information
NPI: 1629922943
Provider Name (Legal Business Name): FRONTIDA HOME HEALTHCARE MI LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
229 BROOKWOOD DR UNIT 14
SOUTH LYON MI
48178-1858
US
IV. Provider business mailing address
27 KARLSBURG RD UNIT 202
MONROE NY
10950-4090
US
V. Phone/Fax
- Phone: 484-468-1492
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AHARON
WEISS
Title or Position: CEO
Credential:
Phone: 484-468-1492