MEDICARE: FRONTIDA HOME HEALTHCARE MI LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1629922943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTIDA HOME HEALTHCARE MI LLC

Provider Business Mailing Address
First Line	:	27 KARLSBURG RD UNIT 202
Second Line	:
City	:	MONROE
State	:	NY
Zip	:	10950-4090
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	229 BROOKWOOD DR UNIT 14
Second Line	:
City	:	SOUTH LYON
State	:	MI
Zip	:	48178-1858
Country	:	US
Telephone Number	:	484-468-1492
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AHARON WEISS
Credential	:
Telephone Number	:	484-468-1492

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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