Provider Demographics
NPI:1134866841
Name:LFG FRONTLINERS HOLDINGS, INC.
Entity type:Organization
Organization Name:LFG FRONTLINERS HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LALANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-785-3203
Mailing Address - Street 1:2200 S MAIN ST STE 111A
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5364
Mailing Address - Country:US
Mailing Address - Phone:773-822-1779
Mailing Address - Fax:630-785-3205
Practice Address - Street 1:2200 S MAIN ST STE 111A
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5364
Practice Address - Country:US
Practice Address - Phone:177-382-2177
Practice Address - Fax:630-785-3205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-14
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health