Organization · Type 2 NPI

Front Porch Communities and Services

Skilled Nursing Facility · Chula Vista, CA

NPI number 1366871287 Active

Practice location

111 Third Ave
Chula Vista, CA 91910-1822

Call (619) 427-2777 Map

Fax (619) 427-0394

Mailing address

2185 N California Blvd Ste 215
Walnut Creek, CA 94596-3566

Other practice locations

183 Third Avenue, Chula Vista, CA 91910 · (619) 205-4100

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	374600802 (CA)
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1366871287
Entity type: Organization (Type 2)
Issued: Nov 1, 2013
Last updated: Jul 29, 2021
Status: Active

Other names

<unavail>
Fredericka Manor · doing business as
Fredericka Manor Care Center · doing business as

Authorized official

Grant Edelstone
Sr. Director Risk Management
(925) 956-7360

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366871287

Front Porch Communities and Services's National Provider Identifier is 1366871287, issued on Nov 1, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Chula Vista, CA. The record was last updated on Jul 29, 2021.