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FRONTIER HEALTH NPI 1073735643


NPI Information

NPI: 1073735643
Provider Name: FRONTIER HEALTH

Doing Business As: FAIMOUNT GROUP HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
719 KENTUCKY AVE
BRISTOL, TN
ZIP 37620
Phone: (423) 968-2532
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FRONTIER HEALTH is a community based residential treatment facility, intellectual and/or developmental disabilities in Bristol, TN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. FRONTIER HEALTH NPI is 1073735643. The provider is registered as an organization entity type.
The provider Is Doing Business As Faimount Group Home.

The provider's business location address is:

719 KENTUCKY AVE
BRISTOL, TN
ZIP 37620-806
Phone: (423) 968-2532

The provider's authorized official is Kristie Hammonds .
The authorized official title is President And Ceo and has the following contact phone number (423) 467-3600.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 1/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesL 324-076-1411TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.