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R. GRANT WIDNER GROUP HOME
NPI 1801018387
Community Based Residential Treatment Facility, Mental Illness in Bristol, TN

Active since May 03, 2007
4121 OLD JONESBORO RD, BRISTOL, TN 37620(423) 652-7378 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2018, Oct 26, 2017 (2 updates tracked since 2017).

About R. Grant Widner Group Home NPPES

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

R. GRANT WIDNER GROUP HOME (NPI 1801018387) is a healthcare organization registered as a community based residential treatment facility, mental illness in Bristol, Tennessee and active in the NPI registry since May 2007. The organization lists Teresa M Kidd, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1801018387
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameFRONTIER HEALTH
Location Address4121 OLD JONESBORO RDBristol, TN 37620-5342
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 652-7378
Organization SubpartYes
Authorized OfficialTeresa M KiddPresident/ceo · (423) 467-3600
Enumeration DateMay 3, 2007
Last NPPES UpdateOctober 5, 20182 updates tracked since enumeration
✔ NPI 1801018387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in TN · 20647
Definition

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

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License L 324-076-1424 (TN)
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License L324-076-1424 (TN)
4121 OLD JONESBORO RD, Bristol, TN 37620
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Other Names 1

Doing Business AsR. Grant Widner Group Home

Other Providers at the Same Location NPPES

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

CHARISSE DAWN DRAIN CRIMINAL JUSTICE LAW
Technician, Other
4121 OLD JONESBORO RD
BRISTOL, TN 37620
Sullivan County (423) 652-7378

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 1801018387. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Frontier Health located?

Frontier Health is located at 4121 Old Jonesboro Rd, Bristol, TN 37620. The listed phone number is (423) 652-7378.

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 October 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.