FRONTIER HEALTH


Address: 1113 King Springs Rd, Johnson City, TN 37601-5009
Phone: 4239284802

FRONTIER HEALTH (NPI# 1417197153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417197153
Entity Type Organization
Organization Name FRONTIER HEALTH
Other Organization Name SPRING HOUSE
Practice Address 1113 King Springs Rd
Johnson City
TN 37601-5009
Mailing Address 1167 Spratlin Park Dr
Gray
TN 37615-6205
Practice Telephone 4239284802
Practice Fax Number 4234673644
Mailing Telephone 4234673600
Mailing Fax Number 4234673644
Enumeration Date 2009-02-20
Last Update Date 2009-02-20
Authorized Official Name MR. E. DOUGLAS VARNEY (PRESIDENT & CEO)
Authorized Official Telephone 4234673600
Is Organization Subpart Y
Parent Organization Name FRONTIER HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities L000000002500 TN Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
SPRING HOUSE Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174005276 Frontier Health Community/Behavioral Health 210 Quarry Rd, Johnson City, TN 37601-7580 2018-09-05
1871949123 Frontier Health Community/Behavioral Health 433 New Beason Well Rd, Kingsport, TN 37660-2729 2016-05-05
1871947754 Frontier Health Community/Behavioral Health 321 Possum Creek Rd, Bluff City, TN 37618-3612 2016-04-18
1124463849 Frontier Health Psychiatric Residential Treatment Facility 210 Quary Rd, Johnson City, TN 37601-7580 2013-05-08
1326288093 Frontier Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2940 Broad St, Bristol, TN 37620-3414 2009-02-20
1871733543 Frontier Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 801 Arnold Rd, Greeneville, TN 37743-3105 2009-02-20
1144460817 Frontier Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2301 E Center St, Kingsport, TN 37664-2701 2009-02-20
1265632392 Frontier Health Community Based Residential Treatment Facility, Mental Illness 516 Swadley Rd, Johnson City, TN 37601-9000 2007-07-18
1073735643 Frontier Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 719 Kentucky Ave, Bristol, TN 37620-3806 2007-05-03
1790836831 Frontier Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 103 Fraley Ave, Duffield, VA 24244-9798 2007-01-16

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities FRONTIER HEALTH 1941 Park Ave Sw, P.o. Box 1130, Norton, Virginia 24273
Colorado Business Entities Frontier Health & Wellness, Inc. 255 Little Park Road, Grand Junction, CO 81507
New York State Corporations FRONTIER HEALTH AGENTS LLC 5828 Forest Creek Drive, E Amherst, New York 14051
Washington State Corporations FRONTIER HEALTH CARE ASSOCIATES INC 10362 Capistrano Place, Poulsbo, WA 98370
Colorado Business Entities FRONTIER HEALTH NETWORK
New York State Corporations FRONTIER HEALTH, CARLINE LAMOUR-OCCEAN, NP IN ADULT HEALTH P.C. 1975 University Avenue, Bronx, New York 10453
New York State Corporations FRONTIER HEALTHCARE BILLING SERVICES LLC 28 Liberty St., New York, New York 10005
North Carolina Corporations Frontier Healthcare Billing Services LLC 160 Mine Lake Ct Ste 200, Raleigh, NC 27615
Oklahoma Business Registrations FRONTIER HEALTHCARE GROUP, INC. 324 Goldfinch Dr, Ft Worth, TX 76108

Office Location

Street Address 1113 KING SPRINGS RD
City JOHNSON CITY
State TN
Zip Code 37601-5009

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396381992 Juan Carlos Simon Villegas Gomez Specialist/Technologist 1081 John Robert Bell Dr, Johnson City, TN 37601 2019-11-19
1629537279 Jaima Suzanne Price Hearing Instrument Specialist 106 E Watauga Avenue, Johnson City, TN 37601 2019-03-13
1275004467 Brittany Howell Speech-Language Pathologist 2114 E. Fairview Ave, Johnson City, TN 37601 2018-12-16
1194229948 Heather Chantel Lester Physical Therapist 2114 E. Fairview Avenue, Johnson City, TN 37601 2018-03-19
1477061869 Patrick Conway Reynolds Specialist/Technologist 1081 John Robert Bell Drive, Johnson City, TN 37601 2018-01-19
1790201135 Surgical Services of East Tennessee PC Surgery 300 East Main St., Suite 301, Johnson City, TN 37601 2017-08-17
1073065694 Davina Leah Reppond Home Health 1204 E Myrtle Ave, Johnsoncity, TN 37601 2016-10-31
1003365503 Wendi Y Minutolo Behavioral Analyst 403 Princeton Rd Ste 3, Johnson City, TN 37601 2016-09-25
1306208798 Rachel Anne Anderson Nurse Practitioner 1118 East Holston Avenue, Johnson City, TN 37601 2016-03-24
1932560976 Kaydee Louise Davidson Occupational Therapist 3209 Bristol Highway, Johnson City, TN 37601 2016-03-18
Find all providers in zip 37601

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194332148 Talley Boarding Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2741 Smith Springs Rd, Nashville, TN 37217 2020-09-24
1821613571 Jasmine E Jackson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3165 Overton Crossing St, Memphis, TN 38127-6522 2020-06-09
1780208116 Indya Daniels Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 262 Carriage House Dr, Jackson, TN 38305-2228 2020-06-01
1841830387 Charis Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8820 Trinity Rd Ste 101, Cordova, TN 38018-2735 2020-01-13
1447891171 Hamelmal S Admassie Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 880 Pin Oak Dr, Antioch, TN 37013-1532 2019-10-03
1285294306 Kiarad Enterprises Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3994 Edenburg Dr, Memphis, TN 38127-4112 2019-06-20
1467910992 Milestone Home Healthcare Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1037 Jefferson St Ste G, Nashville, TN 37208-2554 2019-03-04
1255897831 Salim Homes Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2714 Deerfield Dr, Nashville, TN 37208-1225 2019-02-19
1407324411 Abundant Care Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2805 Foster Ave Ste 206, Nashville, TN 37210-5341 2018-11-07
1558837104 Vicki Mckissick Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217-6306 2018-10-22
Find all providers with the same taxonomy

Competitor

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City JOHNSON CITY
Zip Code 37601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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