FRONTIER HEALTH (NPI# 1194886788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194886788 |
| Entity Type | Organization |
| Organization Name | FRONTIER HEALTH |
| Other Organization Name | ADDINGTON HALL |
| Practice Address |
1100 Us Highway 58 Duffield VA 24244 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 2764314370 |
| Practice Fax Number | 2764312863 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | DR. TERESA M KIDD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4234673600 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 315-16-001 | VA | Agencies |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
315-07-004 | VA | Ambulatory Health Care Facilities |
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
315-03-001 | VA | Respite Care Facility |
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
315-03-001 | VA | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 49-4129-2 | 05 |
| Other Name | Type Code |
|---|---|
| Addington Hall | 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 |
1100 US HIGHWAY 58 |
| City | DUFFIELD |
| State | VA |
| Zip Code | 24244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881732774 | Kellie Nicole Adams | Case Manager/Care Coordinator | 1100 Us Highway 58, Addington Hall, Duffield, VA 24244 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144646944 | Family Preservation Services, Inc. | Community/Behavioral Health | 355 Cecil D. Quillen Drive, Duffield, VA 24244 | 2014-03-17 |
| 1063710804 | Family Preservation Services, Inc | Early Intervention Provider Agency | 225 Boone Trail Road, Duffield, VA 24244 | 2011-03-03 |
| 1689998189 | Richard S Nicholas | Naturopath | 121 Advanced Technology Drive, Duffield, VA 24244 | 2010-03-26 |
| 1508042813 | Family Preservation Services, Inc | Community/Behavioral Health | 663 Duff-patt Highway, Duffield, VA 24244 | 2008-01-16 |
| 1225152903 | Jon Delmes Holmes | Technician, Other | 1100 Us Hwy 58, Doffield, VA 24244 | 2007-03-19 |
| 1255455937 | Francis Clark Roach | Technician, Other | 103 Fraley Avenue, Park Place, Duffield, VA 24244 | 2007-03-19 |
| 1902920036 | Lawrence Ray Castle | Counselor | 4907 Boonetrail Rd, Independence Unlimited, Duffield, VA 24244 | 2007-03-16 |
| 1598803892 | Brandi Suzette Dingus | Counselor | 1100 Hwy 58, Duffield, VA 24244 | 2007-02-01 |
| 1811035165 | Elois P Wampler | Counselor | 4907 Boone Trail Road, Indpendence Unlimited, Duffield, VA 24244 | 2007-02-01 |
| 1235280892 | Frontier Health | Day Training, Developmentally Disabled Services | 4907 Boone Trail Rd, Duffield, VA 24244 | 2007-01-12 |
| Find all providers in zip 24244 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332781 | Martha's Health Services, Inc | Respite Care | 8701 Parliament Dr, Springfield, VA 22151-1224 | 2020-10-07 |
| 1881936748 | Heart & Soul LLC | Respite Care | 1414 Crispell Ct, Hampton, VA 23666-2427 | 2013-03-19 |
| 1306184221 | New Beginnings Group Home Corp. | Respite Care | 961 Avenue J, Norfolk, VA 23513-4600 | 2013-01-28 |
| 1750618039 | Urban Enterprises, LLC | Respite Care | 116 E 15th St, Richmond, VA 23224-3810 | 2009-11-08 |
| 1518018654 | Frontier Health | Respite Care | 100 Laurel Ridge Dr, Big Stone Gap, VA 24219-2756 | 2007-01-16 |
| 1205987849 | Frontier Health | Respite Care | 36 King St, Bristol, VA 24201-4134 | 2007-01-12 |
| 1083620744 | Veldot Residential Services, LLC | Respite Care | 4000 Laurelwood Rd, Richmond, VA 23234-3220 | 2006-08-01 |
| 1841240884 | A Grace Place Adult Care Center | Respite Care | 8030 Staples Mill Rd, Richmond, VA 23228-2713 | 2006-05-11 |
| 1902255235 | Parkerlane Assistant Living Facility | Respite Care | 12706 Parker Ln, Chester, VA 23831-5130 | 2016-06-07 |
| 1841618006 | Charis Support Services, Inc | Respite Care | 2428 Almeda Ave, Suite 164, Norfolk, VA 23513-2448 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FRONTIER HEALTH.
| 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.