Organization Active NPI

Fairview Housing Management Corp

Doing business as Bristol Lifestyle Recovery

  • Substance Abuse Rehabilitation Facility
  • Bristol, VA
National Provider Identifier
1376064147
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FAIRVIEW HOUSING MANAGEMENT CORP
Doing business as
Bristol Lifestyle Recovery
Mended Women Lifestyle Recovery
Practice address
261 North St
Bristol, VA 24201-3275
Phone
(276) 821-8030
NPI assigned
Jul 3, 2017
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Robert Jennings Garrett
Title
President
Phone
(423) 612-2995

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LI0000000004235 TN
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

261 North St
Bristol, VA 24201-3275

Mailing address

PO Box 5746
Johnson City, TN 37602-5746
Phone (423) 612-2995

Other practice location 1

281 Bagley Cir
Marion, VA 24354-3129
Phone (888) 234-2240

Other practice location 2

482 Bradley St SW
Abingdon, VA 24210-3008
Phone (276) 451-3996

Other practice location 3

100 E Millard Street
Johnson City, TN 37602-5746
Phone (423) 845-5600

Other names 2

  • Bristol Lifestyle Recovery Doing business as
  • Mended Women Lifestyle Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

100 E Millard St
Johnson City, TN 37601
Phone (423) 845-5600

482 Bradley St SW
Abingdon, VA 24210
Phone (276) 451-3996

Practitioners & affiliated clinicians

Practitioners 1

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": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1376064147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5746",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025746",
            "telephone_number": "423-612-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 NORTH ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013275",
            "telephone_number": "276-821-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Bagley Cir",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243543129",
            "country_code": "US",
            "telephone_number": "888-234-2240",
            "fax_number": "888-234-2240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "482 Bradley St SW",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242103008",
            "country_code": "US",
            "telephone_number": "276-451-3996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Millard Street",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376025746",
            "country_code": "US",
            "telephone_number": "423-845-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAIRVIEW HOUSING MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-612-2995"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LI0000000004235",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Lifestyle Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bristol Lifestyle Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mended Women Lifestyle Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.