Frontier Rehabilitation and Extended Care Center – Skilled Nursing Facility, NPI 1104811207

Frontier Rehabilitation and Extended Care Center is a healthcare provider. based in Vancouver, Washington. specializing in Skilled Nursing Facility. The organization holds a License No. 1225 (WA). The NPI Number for Frontier Rehabilitation and Extended Care Center is 1104811207

Main info

Organization
Name
Frontier Rehabilitation and Extended Care Center
NPI
1104811207
Phone
(360) 892-6628
Address
4601 NE 77TH AVE
Authorized Official
BRENT WEIL CEO AND MANAGER
Enumeration Date
14 September 2005
Last Update Date
30 January 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Frontier Rehabilitation and Extended Care Center

  • 4601, Northeast 77th Avenue, Vancouver Mall, Vancouver, Clark County, Washington, 98662, United States

    SUITE 300

    VANCOUVER, WA 986626736

    Phone: (360) 892-6628

    Fax: (360) 882-5793

    Type: Mailing

  • 1500, 3rd Avenue, Longview, Cowlitz County, Washington, 98632, United States

    LONGVIEW, WA 986328632

    Phone: (360) 423-8800

    Fax: (360) 636-3421

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98662)

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Reviews

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Frequently asked questions

What identifier follows Frontier Rehabilitation and Extended Care Center across health systems?
The NPI 1104811207 uniquely identifies Frontier Rehabilitation and Extended Care Center in U.S. healthcare data.
Does the public listing show Frontier Rehabilitation and Extended Care Center as active?
Frontier Rehabilitation and Extended Care Center's NPI record reflects an active status in NPPES.
What does the directory say Frontier Rehabilitation and Extended Care Center does?
Insurance directories may phrase it differently, but here Frontier Rehabilitation and Extended Care Center maps to Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Which community is linked to Frontier Rehabilitation and Extended Care Center?
Frontier Rehabilitation and Extended Care Center shows a connection to Vancouver, Washington in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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