Frontier Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

L 219-076-1426 Issued in TN

Legal business name

FRONTIER HEALTH

Doing business as

Roller Russ Residence for Independent Living

Practice address

2221 Memorial CT
Kingsport, TN 37664-3339

Phone

(423) 245-1121

Fax

(423) 467-3644

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. E Douglas Varney

Title

President and Ceo

Phone

(423) 467-3600

Specialties & licenses 1

Addresses

Other names 1

• Roller Russ Residence for Independent Living Doing business as

Tax ID family

Lee County Integrated Care62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Frontier Health

  dba Adolescent Drug and Alcohol Recovery

  • Adolescent and Children Mental Health Clinic/Center
  • Bristol, TN
  • NPI 1013078716
  NPD tax ID
• Frontier Health

  dba Hawkins County Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rogersville, TN
  • NPI 1043374564
  NPD tax ID
• Frontier Health

  dba Hancock County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sneedville, TN
  • NPI 1053475558
  NPD tax ID
• Frontier Health

  dba Magnolia Ridge

  • Substance Abuse Rehabilitation Facility
  • Johnson City, TN
  • NPI 1053476333
  NPD tax ID
• Frontier Health

  dba Fairmount Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bristol, TN
  • NPI 1073735643
  NPD tax ID
• Frontier Health

  • Psychiatric Hospital Unit
  • Johnson City, TN
  • NPI 1093958944
  NPD tax ID
• Frontier Health

  dba Gibson Place 210

  • Psychiatric Residential Treatment Facility
  • Johnson City, TN
  • NPI 1124463849
  NPD tax ID
• Frontier Health

  dba Fairview Associates of Johnson City

  • Community/Behavioral Health Agency
  • Johnson City, TN
  • NPI 1134282551
  NPD tax ID
• Frontier Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kingsport, TN
  • NPI 1144460817
  NPD tax ID
• Frontier Health

  dba Crisis Triage

  • Community/Behavioral Health Agency
  • Johnson City, TN
  • NPI 1174005276
  NPD tax ID
• Frontier Health

  dba Bristol Regional Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bristol, TN
  • NPI 1235291295
  NPD tax ID
• Frontier Health

  dba Adventure Program

  • Adolescent and Children Mental Health Clinic/Center
  • Johnson City, TN
  • NPI 1235298720
  NPD tax ID

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265597280",
    "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": "2221 MEMORIAL CT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643339",
            "telephone_number": "423-245-1121",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "423-467-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "L 219-076-1426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roller Russ Residence for Independent Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Friends in Need
• Friends in Need Health Center
• Dawn Lacy Fritz, MED NCC LPC MHSP
• Letitia Bobbette Fritz
• Frontier Health
• Frontier Health (Supported Living - Kingsport)
• Frontier Health (Holston Children & Youth Services)
• Frontier Health (Holston Residence)
• Frontier Health (Holston Counseling Center)
• Frontier Health (Frontier Industries Kingsport)

• Mental Illness Community Based Residential Treatment Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.