Provider Demographics
NPI:1992558043
Name:FRONT PORCH LIVING HOME CARE INC.
Entity type:Organization
Organization Name:FRONT PORCH LIVING HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GRIEWAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-206-2394
Mailing Address - Street 1:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:MANITOU BEACH
Mailing Address - State:MI
Mailing Address - Zip Code:49253-0143
Mailing Address - Country:US
Mailing Address - Phone:517-206-2394
Mailing Address - Fax:
Practice Address - Street 1:830 LANCASTER DR
Practice Address - Street 2:
Practice Address - City:MANITOU BEACH
Practice Address - State:MI
Practice Address - Zip Code:49253-9106
Practice Address - Country:US
Practice Address - Phone:517-206-2394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty