Active NPI
Frontier Health
Doing business as Independence Unlimited
- Developmentally Disabled Services Day Training Agency
- Duffield, VA
National Provider Identifier
1235280892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 315-02-006
- Legal business name
- FRONTIER HEALTH
- Doing business as
- Independence Unlimited
- Practice address
- 4907 Boone Trail Rd
Duffield, VA 24244 - Phone
- (276) 431-4473
- Fax
- (276) 431-4484
- NPI assigned
- Jan 12, 2007
- Last updated
- Oct 4, 2018
- 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. Teresa M Kidd, PHD
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 315-02-006 | VA | Primary |
Addresses
Primary practice location
4907 Boone Trail Rd
Duffield, VA 24244
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other names 1
- Independence Unlimited
National Provider Directory
National Provider Directory- Tax ID family
- Wise County Integrated Care
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Independence House
- Community/Behavioral Health Agency
- Big Stone Gap, VA
- NPI 1194875039
-
dba Scott County Behavioral Health Services
- Case Management Agency
- Weber City, VA
- NPI 1194881623
-
dba Addington Hall
- Child Intellectual and/or Developmental Disabilities Respite Care
- Duffield, VA
- NPI 1194886788
-
dba Sunhouse Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bristol, VA
- NPI 1205987849
-
dba Community Connections
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Big Stone Gap, VA
- NPI 1285463307
-
dba Polly Summit
- Mental Illness Community Based Residential Treatment Facility
- Big Stone Gap, VA
- NPI 1427109560
-
dba Pierce House Residential Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Big Stone Gap, VA
- NPI 1518018654
-
dba Wise County Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norton, VA
- NPI 1649336173
-
dba Lee County Behavioral Health Services
- Case Management Agency
- Jonesville, VA
- NPI 1659436228
-
dba Developmental Services
- Developmentally Disabled Services Day Training Agency
- Big Stone Gap, VA
- NPI 1669517561
-
dba Park Place Residential Service
- Child Intellectual and/or Developmental Disabilities Respite Care
- Duffield, VA
- NPI 1790836831
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Psychologist
- Greeneville, TN
- NPI 1386656403
-
- Other Technician
- Duffield, VA
- NPI 1376667576
-
- Other Technician
- Duffield, VA
- NPI 1447374657
-
- Counselor
- Duffield, VA
- NPI 1053459313
-
- Other Technician
- Duffield, VA
- NPI 1841314523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538611200000",
"number": "1235280892",
"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": "4907 BOONE TRAIL RD",
"city": "DUFFIELD",
"state": "VA",
"postal_code": "24244",
"telephone_number": "276-431-4473",
"fax_number": "276-431-4484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"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": "Mrs.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "VA",
"license": "315-02-006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Independence Unlimited",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Independence Unlimited",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Duffield, VA
- Gail R Feagins, LCSW
- Olimpo Fernando Fonseca, MD
- Pauline Fraley, BS
- Friendship Home Health Inc
- Frontier Health (Addington Hall)
- Frontier Health (Park Place Residential Service)
- Frontier Health (Hillcrest Group Home)
- Dewayne Steven Garrett, LPTA
- Harvest Freewill Baptist Child Care Ministries, Inc. (Harvest Child Care Ministries)
- Joe Michael Hill Jr.
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.