FRONTIER HEALTH (NPI# 1124463849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124463849 |
| Entity Type | Organization |
| Organization Name | FRONTIER HEALTH |
| Other Organization Name | GIBSON PLACE 210 |
| Practice Address |
210 Quary Rd Johnson City TN 37601-7580 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4232327234 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | MRS. KRISTIE HAMMONDS (PRESIDENT & CEO) |
| Authorized Official Telephone | 4234673600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | I000000012508 | TN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| GIBSON PLACE 210 | 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 |
| 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 |
| 1790836831 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Fraley Ave, Duffield, VA 24244-9798 | 2007-01-16 |
| 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 |
210 QUARY RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-7580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417394222 | Anthony Thad Cole | Counselor | 210 Quary Rd, Johnson City, TN 37601-7580 | 2013-06-03 |
| 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 Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841635562 | Frontier Health | Psychiatric Residential Treatment Facility | 208 Quary Rd, Johnson City, TN 37601-7580 | 2013-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645674 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 5842 Highway 30, Benton, TN 37307-4734 | 2020-09-29 |
| 1053966747 | Youth Villages, Inc | Psychiatric Residential Treatment Facility | 7428 Memphis-arlington Rd, Memphis, TN 38135-3813 | 2019-08-08 |
| 1679127971 | Youth Villages, Inc. | Psychiatric Residential Treatment Facility | 7386 Memphis Arlington Rd, Memphis, TN 38135-1908 | 2019-07-25 |
| 1396215810 | Hanbleceya Nashville, LLC | Psychiatric Residential Treatment Facility | 300 35th Ave N, Nashville, TN 37209-3921 | 2018-11-27 |
| 1700332145 | Keysgroupholdings LLC | Psychiatric Residential Treatment Facility | 110 Westwood Pl, Suite 100, Brentwood, TN 37027-5075 | 2016-08-26 |
| 1144672411 | Woodridge Behavioral Care, LLC | Psychiatric Residential Treatment Facility | 162 Cude Ln, Madison, TN 37115-2202 | 2016-07-11 |
| 1144689001 | Onsite Partners, Inc. | Psychiatric Residential Treatment Facility | 1044 Old Highway 48 N, Cumberland Furnace, TN 37051-5000 | 2016-02-19 |
| 1811389158 | Ko Pest Control | Psychiatric Residential Treatment Facility | 3575 Hwy 138, Toone, TN 38381 | 2015-02-24 |
| 1063796431 | The Link Center, Inc. | Psychiatric Residential Treatment Facility | 6978 Lebanon Rd Ste F, Mount Juliet, TN 37122-7201 | 2011-10-04 |
| 1699054346 | Almost Home Inc | Psychiatric Residential Treatment Facility | 5507 Santa Monica St, Memphis, TN 38116-9233 | 2011-08-12 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.