R. Grant Widner Group Home

LBN: Frontier Health
R. Grant Widner Group Home is an health care organization with primary practice located at 4121 Old Jonesboro Rd , Bristol TN 37620-5342. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Frontier Health can be contacted via phone (423) 652-7378, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
4121 Old Jonesboro Rd Bristol TN 37620-5342
Phone: (423) 652-7378
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Teresa M PHD
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 20647 Tennessee
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X L 324-076-1424 Tennessee
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X L324-076-1424 Tennessee

Profile Details

NPI number 1801018387
LBN Legal business name Frontier Health
DBA Doing business as R. Grant Widner Group Home
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2007
Last updated Oct 5th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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