Healthcare Provider Details

I. General information

NPI: 1205703915
Provider Name (Legal Business Name): MARTINA MARIE FROGGE-JACOVINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLEAR PATH HEALTHCARE

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 COMMERCIAL WAY
FALLON NV
89406-2600
US

IV. Provider business mailing address

50 COMMERCIAL WAY
FALLON NV
89406-2600
US

V. Phone/Fax

Practice location:
  • Phone: 702-683-0299
  • Fax: 702-683-0299
Mailing address:
  • Phone: 775-294-6033
  • Fax: 702-683-0299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number393910265
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: