FRONTIER HEALTH (NPI# 1518018654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518018654 |
| Entity Type | Organization |
| Organization Name | FRONTIER HEALTH |
| Other Organization Name | PIERCE HOUSE RESIDENTIAL GROUP HOME |
| Practice Address |
100 Laurel Ridge Dr Big Stone Gap VA 24219-2756 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 2765231536 |
| Practice Fax Number | 2765231537 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-10-05 |
| 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 | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
315-01-001 | VA | Respite Care Facility |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315-01-001 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Pierce House Residential 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 |
100 LAUREL RIDGE DR |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891907762 | Lucy Faye Taylor | Technician, Other | 100 Laurel Ridge Dr, Pierce Mouse, Big Stone Gap, VA 24219 | 2007-05-04 |
| 1194840124 | Sarah Maylene Riffle | Technician, Other | 100 Laurel Ridge Dr, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1851415533 | Elizabeth Ann Weston | Technician, Other | 100 Laurel Ridge Dr, Pierce House, Big Stone Gap, VA 24219 | 2007-03-19 |
| 1891819975 | Tina Marie Lewis | Technician, Other | 100 Laurel Ridge Dr, Pierce House, Big Stone Gap, VA 24219 | 2007-03-16 |
| 1427109560 | Frontier Health | Community Based Residential Treatment Facility, Mental Illness | 100 Laurel Ridge Dr, Big Stone Gap, VA 24219-2756 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729213 | Saint Claire Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 | 2020-10-28 |
| 1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1396359576 | Best Hope Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9662 Hawkshead Dr, Lorton, VA 22079-2786 | 2020-09-03 |
| 1609489038 | Viana Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8205 Mockingbird Dr, Annandale, VA 22003-3713 | 2020-08-25 |
| 1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
| 1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
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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.