Holston Residence

LBN: Frontier Health
Holston Residence is an health care organization with primary practice located at 1800 Mountain View Ave , Kingsport TN 37664-3548. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Frontier Health can be contacted via phone (423) 247-6340, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
1800 Mountain View Ave Kingsport TN 37664-3548
Phone: (423) 247-6340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Teresa M PHD
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X L 324-076-1419 Tennessee

Profile Details

NPI number 1669694220
LBN Legal business name Frontier Health
DBA Doing business as Holston Residence
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2007
Last updated Sep 24th, 2018 - about 8 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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