Active NPI
Frontier Health
Doing business as Fairmount Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bristol, TN
National Provider Identifier
1073735643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- L 324-076-1411
- Legal business name
- FRONTIER HEALTH
- Doing business as
- Fairmount Group Home
Faimount Group Home - Practice address
- 719 Kentucky Ave
Bristol, TN 37620-3806 - Phone
- (423) 968-2532
- NPI assigned
- May 3, 2007
- Last updated
- Jan 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristie Hammonds
- Title
- President and Ceo
- Phone
- (423) 467-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | L 324-076-1411 | TN | Primary |
Addresses
Primary practice location
719 Kentucky Ave
Bristol, TN 37620-3806
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other names 2
- FAIRMOUNT GROUP HOME
- Faimount Group Home
National Provider Directory
National Provider Directory- Tax ID family
- Frontier Health
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Adolescent Drug and Alcohol Recovery
- Adolescent and Children Mental Health Clinic/Center
- Bristol, TN
- NPI 1013078716
-
dba Hawkins County Mental Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rogersville, TN
- NPI 1043374564
-
dba Hancock County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
-
dba Magnolia Ridge
- Substance Abuse Rehabilitation Facility
- Johnson City, TN
- NPI 1053476333
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1093958944
-
dba Gibson Place 210
- Psychiatric Residential Treatment Facility
- Johnson City, TN
- NPI 1124463849
-
dba Fairview Associates of Johnson City
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1134282551
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1144460817
-
dba Crisis Triage
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1174005276
-
dba Bristol Regional Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bristol, TN
- NPI 1235291295
-
dba Adventure Program
- Adolescent and Children Mental Health Clinic/Center
- Johnson City, TN
- NPI 1235298720
-
dba Roller Russ Residence for Independent Living
- Mental Illness Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1265597280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578614400000",
"number": "1073735643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "376159054",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 KENTUCKY AVE",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376203806",
"telephone_number": "423-968-2532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A",
"authorized_official_last_name": "HAMMONDS",
"authorized_official_first_name": "KRISTIE",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "423-467-3600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TN",
"license": "L 324-076-1411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAIRMOUNT GROUP HOME",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Faimount Group Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Faimount Group Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bristol, TN
- Ghino Francois, M.D.
- Franklin Cambridge Operations, LLC (The Cambridge House)
- Franklin Healthcare, Inc.
- Rachel K Freeman, NP
- Frontier Health (Adolescent Drug and Alcohol Recovery)
- Frontier Health (Bristol Regional Counseling Center)
- Frontier Health
- Frontier Health (Supportive Living - Bristol)
- Frontier Health (R. Grant Widner Group Home)
- Frontier Health (Bristol Behavioral Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.