FRONTIER HEALTH (NPI# 1801018387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801018387 |
| Entity Type | Organization |
| Organization Name | FRONTIER HEALTH |
| Other Organization Name | R. GRANT WIDNER GROUP HOME |
| Practice Address |
4121 Old Jonesboro Rd Bristol TN 37620-5342 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4236527378 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | MS. TERESA M KIDD (PRESIDENT/CEO) |
| Authorized Official Telephone | 4234673600 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | FRONTIER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | L 324-076-1424 | TN | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | L324-076-1424 | TN | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 20647 | TN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| R. GRANT WIDNER GROUP HOME | Doing Business As Name - Organization |
| 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 |
| 1417197153 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1113 King Springs Rd, Johnson City, TN 37601-5009 | 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 |
| 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 |
| Street Address |
4121 OLD JONESBORO RD |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-5342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801910815 | Charisse Dawn Drain | Technician, Other | 4121 Old Jonesboro Rd, Bristol, TN 37620 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269915 | Free Will Baptist Family Ministries, Inc. | Community Based Residential Treatment Facility, Mental Illness | 15149 Old Jonesboro Road, Bristol, VA 24202-4623 | 2006-09-25 |
| 1982879474 | Adec Inc | Community Based Residential Treatment Facility, Mental Illness | 19670 State Road 120, Bristol, IN 46507-0398 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1912435892 | Blessed Beyond Home Care | Community Based Residential Treatment Facility, Mental Illness | 640 Sunburst Dr, Mcminnville, TN 37110-3051 | 2017-05-23 |
| 1699202457 | Jelessa Lashae Crosby-powell | Community Based Residential Treatment Facility, Mental Illness | 2010 Tynewood Dr, Clarksville, TN 37042-5284 | 2017-05-11 |
| 1548793441 | Stonebridge Family Counseling | Community Based Residential Treatment Facility, Mental Illness | 209 Edison St E, Fayetteville, TN 37334-3007 | 2017-04-06 |
| 1679004253 | Solutionsretreat.org, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5405 Forest Acres Dr, Nashville, TN 37220-2100 | 2017-03-24 |
| 1346695194 | Manna Food 4 Life | Community Based Residential Treatment Facility, Mental Illness | 860 Tatum Rd, Memphis, TN 38122-2543 | 2016-04-29 |
| 1902260805 | Sharon Gilgenast | Community Based Residential Treatment Facility, Mental Illness | 1279 Cloverdale Dr, Clarksville, TN 37040-4714 | 2016-04-07 |
| 1942678222 | Biblical Concepts Group Homes | Community Based Residential Treatment Facility, Mental Illness | 1004 Louisville Hwy, Goodlettsville, TN 37072-1167 | 2015-09-03 |
| 1689040289 | Shemeka Lajuana Jenkins | Community Based Residential Treatment Facility, Mental Illness | 118 Union Stret, Clarksville, TN 37040 | 2015-08-18 |
| Find all providers with the same taxonomy | ||||
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| 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.