BRISTOL BOYS HOME – NPI #1538269915
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.
BRISTOL BOYS HOME is a community based residential treatment facility located in BRISTOL, VA. NPPES has assigned the NPI number 1538269915 to BRISTOL BOYS HOME on September 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRISTOL BOYS HOME” is a dba name, the actual legal business name for this organization is FREE WILL BAPTIST FAMILY MINISTRIES, INC.. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRISTOL BOYS HOME below.
NPI Profile for
FREE WILL BAPTIST FAMILY MINISTRIES, INC.
(more than 19 years ago)
BRISTOL, VA 24202-4623 Phone: (276) 466-5051 Fax: (276) 466-5045
GREENEVILLE, TN 37743 Phone: (423) 639-9449 Fax: (423) 639-5083
CHIEF EXECUTIVE OFFICER
Phone: (423) 639-9449
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
VA | SS-304-06 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.