Provider Demographics
NPI:1982576112
Name:FROUNFELKER, JACOB DANIEL
Entity type:Individual
Prefix:MR
First Name:JACOB
Middle Name:DANIEL
Last Name:FROUNFELKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5456 SERRA VISTA CT
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1612
Mailing Address - Country:US
Mailing Address - Phone:330-714-3864
Mailing Address - Fax:
Practice Address - Street 1:5456 SERRA VISTA CT
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1612
Practice Address - Country:US
Practice Address - Phone:330-714-3864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care