FRONTIER HEALTH NPI 1700941721

NPI Information

NPI: 1700941721
Provider Name: FRONTIER HEALTH

Doing Business As: FRONTIER INDUSTRIES KINGSPORT

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2017 STONEBROOK PL
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-1417
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FRONTIER HEALTH is a community based residential treatment facility, intellectual and/or developmental disabilities in Kingsport, TN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. FRONTIER HEALTH NPI is 1700941721. The provider is registered as an organization entity type.
The provider Is Doing Business As Frontier Industries Kingsport.

The provider's business location address is:

2017 STONEBROOK PL
KINGSPORT, TN
ZIP 37660-000
Phone: (423) 224-1417
Fax: (423) 224-1418

The provider's authorized official is Kristie Hammonds .
The authorized official title is President And Ceo and has the following contact phone number (423) 467-3600.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 1/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		L 3(20)24M3-076-1414	TENNESSEE	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		L 3(20)24M3-076-1414	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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