Organization Active NPI

Frontier Health

Doing business as Addington Hall

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Duffield, VA
National Provider Identifier
1194886788
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
315-03-001 Issued in VA
Legal business name
FRONTIER HEALTH
Doing business as
Addington Hall
Practice address
1100 US Highway 58
Duffield, VA 24244
Phone
(276) 431-4370
Fax
(276) 431-2863
NPI assigned
Dec 13, 2006
Last updated
Oct 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Teresa M Kidd, PHDNPI 1386656403
Title
President and Ceo
Phone
(423) 467-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 315-16-001 VA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 315-07-004 VA
Child Mental Illness Respite Care 385HR2055X 315-03-001 VA
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 315-03-001 VA Primary

Addresses

Primary practice location

1100 US Highway 58
Duffield, VA 24244

Mailing address

PO Box 9054
Gray, TN 37615-9054

Other names 1

  • Addington Hall Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wise County Integrated Care62 organizations share this tax ID, including this one

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.

View all 16

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1194886788",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 US HIGHWAY 58",
            "city": "DUFFIELD",
            "state": "VA",
            "postal_code": "24244",
            "telephone_number": "276-431-4370",
            "fax_number": "276-431-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "423-467-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "315-16-001",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "VA",
            "license": "315-07-004",
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "VA",
            "license": "315-03-001",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "VA",
            "license": "315-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addington Hall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Addington Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duffield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.