NPIMap

Organization Active NPI

Frontier Health

Doing business as Developmental Services

  • Developmentally Disabled Services Day Training Agency
  • Big Stone Gap, VA
National Provider Identifier
1669517561
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
315-02-006 Issued in VA
Legal business name
FRONTIER HEALTH
Doing business as
Developmental Services
Practice address
622 Powell Ave E
Big Stone Gap, VA 24219-2348
Phone
(276) 523-0682
NPI assigned
Feb 20, 2007
Last updated
Oct 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Ms. 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 315-16-001 VA
Developmentally Disabled Services Day Training Agency 251C00000X 315-02-006 VA Primary
Respite Care 385H00000X 315-03-001 VA

Addresses

Primary practice location

622 Powell Ave E
Big Stone Gap, VA 24219-2348

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600

Other names 1

  • Developmental Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee 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.

  • Frontier Health

    dba Independence House

    • Community/Behavioral Health Agency
    • Big Stone Gap, VA
    • NPI 1194875039
    NPD tax ID
  • Frontier Health

    dba Scott County Behavioral Health Services

    • Case Management Agency
    • Weber City, VA
    • NPI 1194881623
    NPD tax ID
  • Frontier Health

    dba Addington Hall

    • Child Intellectual and/or Developmental Disabilities Respite Care
    • Duffield, VA
    • NPI 1194886788
    NPD tax ID
  • Frontier Health

    dba Sunhouse Group Home

    • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    • Bristol, VA
    • NPI 1205987849
    NPD tax ID
  • Frontier Health

    dba Independence Unlimited

    • Developmentally Disabled Services Day Training Agency
    • Duffield, VA
    • NPI 1235280892
    NPD tax ID
  • Frontier Health

    dba Community Connections

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Big Stone Gap, VA
    • NPI 1285463307
    NPD tax ID
  • Frontier Health

    dba Polly Summit

    • Mental Illness Community Based Residential Treatment Facility
    • Big Stone Gap, VA
    • NPI 1427109560
    NPD tax ID
  • Frontier Health

    dba Hawthorne Place

    • Community/Behavioral Health Agency
    • Norton, VA
    • NPI 1457022832
    NPD tax ID
  • Frontier Health

    dba Pierce House Residential Group Home

    • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    • Big Stone Gap, VA
    • NPI 1518018654
    NPD tax ID
  • Frontier Health

    dba Wise County Behavioral Health Services

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Norton, VA
    • NPI 1649336173
    NPD tax ID
  • Frontier Health

    dba Lee County Behavioral Health Services

    • Case Management Agency
    • Jonesville, VA
    • NPI 1659436228
    NPD tax ID
  • Frontier Health

    dba Park Place Residential Service

    • Child Intellectual and/or Developmental Disabilities Respite Care
    • Duffield, VA
    • NPI 1790836831
    NPD tax ID
View all 16

Locations

622 Powell Ave E
Big Stone Gap, VA 24219
Phone (276) 523-0026

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1669517561",
    "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": "622 POWELL AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192348",
            "telephone_number": "276-523-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-10-05",
        "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": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "315-16-001",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "315-02-006",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "315-03-001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Developmental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Stone Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.