ROLLER RUSS RESIDENCE FOR INDEPENDENT LIVING
NPI 1265597280
Community Based Residential Treatment Facility, Mental Illness in Kingsport, TN

Q: What is Frontier Health's NPI number?

The NPI number for Frontier Health is 1265597280. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Roller Russ Residence For Independent Living.

Q: What is Frontier Health's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Frontier Health was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2006

2221 MEMORIAL CT, KINGSPORT, TN 37664(423) 245-1121(423) 467-3644 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roller Russ Residence For Independent Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROLLER RUSS RESIDENCE FOR INDEPENDENT LIVING (NPI 1265597280) is a healthcare organization registered as a community based residential treatment facility, mental illness in Kingsport, Tennessee and active in the NPI registry since December 2006. The organization lists E Douglas Varney, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1265597280

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameFRONTIER HEALTH

Location Address2221 MEMORIAL CTKingsport, TN 37664-3339

Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3644

Phone(423) 245-1121

Fax(423) 467-3644

Organization SubpartNo

Authorized OfficialE Douglas VarneyPresident And Ceo · (423) 467-3600

Enumeration DateDecember 27, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1265597280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in TN · L 219-076-1426

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2221 MEMORIAL CT, Kingsport, TN 37664

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Other Names 1

Doing Business AsRoller Russ Residence For Independent Living

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frontier Health's NPI number?

The NPI number for Frontier Health is 1265597280. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Roller Russ Residence For Independent Living.

Where is Frontier Health located?

Frontier Health is located at 2221 Memorial Ct, Kingsport, TN 37664. The listed phone number is (423) 245-1121.

What is Frontier Health's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Frontier Health was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.