Healthcare Provider Details

I. General information

NPI: 1144426552
Provider Name (Legal Business Name): FRONTIER COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 08/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12127 PLEASANT VALLEY RD
CHILLICOTHEE OH
45601-9785
US

IV. Provider business mailing address

12127 PLEASANT VALLEY RD
CHILLICOTHEE OH
45601-9785
US

V. Phone/Fax

Practice location:
  • Phone: 740-772-1396
  • Fax: 740-772-1394
Mailing address:
  • Phone: 740-772-1396
  • Fax: 740-772-1394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number0886135
License Number StateOH

VIII. Authorized Official

Name: MR. GREGORY J ARCARO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MA
Phone: 740-772-1396