FRONTIER INDUSTRIES KINGSPORT – NPI #1700941721
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

FRONTIER INDUSTRIES KINGSPORT is a community based residential treatment facility located in KINGSPORT, TN. NPPES has assigned the NPI number 1700941721 to FRONTIER INDUSTRIES KINGSPORT on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRONTIER INDUSTRIES KINGSPORT” is a dba name, the actual legal business name for this organization is FRONTIER HEALTH. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Jan 10, 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 FRONTIER INDUSTRIES KINGSPORT below.

NPI Profile for
FRONTIER HEALTH

NPI Number
1700941721
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FRONTIER HEALTH
Doing Business As (dba): FRONTIER INDUSTRIES KINGSPORT
Primary location
2017 STONEBROOK PL
KINGSPORT, TN 37660-4000
Phone: (423) 224-1417 Fax: (423) 224-1418
Mailing address
PO BOX 9054
GRAY, TN 37615-9054
Phone: (423) 467-3600 Fax: (423) 467-3644
Organization Subpart
No
Authorized Official
KRISTIE HAMMONDS
PRESIDENT AND CEO
Phone: (423) 467-3600
Updated
Certification Date
Jan 10, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 TN L 3(20)24M3-076-1414
251C00000X
- Day Training, Developmentally Disabled Services		 TN L 3(20)24M3-076-1414

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.