SUPPORTED LIVING - KINGSPORT
NPI 1508917642
Community/Behavioral Health in Kingsport, TN

Q: What is Frontier Health's NPI number?

The NPI number for Frontier Health is 1508917642. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Supported Living - Kingsport.

Q: What is Frontier Health's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Frontier Health was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 16, 2007

2017 STONEBROOK PL, KINGSPORT, TN 37660(423) 224-1417(423) 224-1418 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Supported Living - Kingsport NPPES

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

SUPPORTED LIVING - KINGSPORT (NPI 1508917642) is a healthcare organization registered as a community/behavioral health in Kingsport, Tennessee and active in the NPI registry since January 2007. The organization lists Teresa M Kidd, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1508917642

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameFRONTIER HEALTH

Location Address2017 STONEBROOK PLKingsport, TN 37660-4000

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

Phone(423) 224-1417

Fax(423) 224-1418

Organization SubpartNo

Authorized OfficialTeresa M KiddPresident And Ceo · (423) 467-3600

Enumeration DateJanuary 16, 2007

Last NPPES UpdateOctober 5, 2018

✔ NPI 1508917642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in TN · L 3(20)24M3-076-1414

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2017 STONEBROOK PL, Kingsport, TN 37660

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Other Names 1

Doing Business AsSupported Living - Kingsport

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY L SAMPSON

Technician, Other