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SUPPORTIVE LIVING - BRISTOL
NPI 1699826735
Community/Behavioral Health in Bristol, TN

Active since January 16, 2007
498 INDUSTRIAL DR, BRISTOL, TN 37620(423) 878-1600(423) 878-1606 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Supportive Living - Bristol NPPES

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

SUPPORTIVE LIVING - BRISTOL (NPI 1699826735) is a healthcare organization registered as a community/behavioral health in Bristol, 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

NPI1699826735
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFRONTIER HEALTH
Location Address498 INDUSTRIAL DRBristol, TN 37620-5400
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 878-1600
Fax(423) 878-1606
Organization SubpartNo
Authorized OfficialTeresa M KiddPresident And Ceo · (423) 467-3600
Enumeration DateJanuary 16, 2007
Last NPPES UpdateOctober 5, 2018
✔ NPI 1699826735 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)24M6-076-1413
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.
498 INDUSTRIAL DR, Bristol, TN 37620
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Other Names 1

Doing Business AsSupportive Living - Bristol

Other Providers at the Same Location NPPES 7

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

ROBIN BROOKE JENKINS AS
Specialist
498 INDUSTRIAL DR
BRISTOL, TN 37620
Sullivan County (423) 878-1600
SHERRY PATRICK MUSICK BS
Specialist
498 INDUSTRIAL DR
BRISTOL, TN 37620
Sullivan County (423) 878-1600
SASHA ANETTE JOHNSON BS
Specialist/Technologist, Other
498 INDUSTRIAL DR
BRISTOL, TN 37620
Sullivan County (423) 878-1600
VICKI LANE COOPER
Counselor
498 INDUSTRIAL DR
BRISTOL, TN 37620
Sullivan County (423) 878-1600
MRS. DEBORAH NOTTINGHAM HENNINGER BSW
Technician, Other
498 INDUSTRIAL DR, FIB
BRISTOL, TN 37620
Sullivan County (423) 878-1624
MRS. FARRAH DANE STOUT BS QMHP
Technician, Other
498 INDUSTRIAL DR
BRISTOL, TN 37620
Sullivan County (423) 878-1600
MR. BOB DEAN HORNE
Technician, Other
498 INDUSTRIAL DR
BRISTOL, TN 37620
Sullivan County (423) 467-3600

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 1699826735. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Supportive Living - Bristol.

Where is Frontier Health located?

Frontier Health is located at 498 Industrial Dr, Bristol, TN 37620. The listed phone number is (423) 878-1600.

What is Frontier Health's specialty?

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

When was this NPI record last updated?

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