Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frontier Health

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1801018387

Frontier Health is a Mental Illness Community Based Residential Treatment Facility in Bristol, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
Specialties on file
3

Practice location Address checks out

4121 Old Jonesboro Rd
Bristol, TN 37620-5342
Phone: (423) 652-7378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 20647 (TN)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence L 324-076-1424 (TN)
Psychiatric Residential Treatment Facility Taxonomy 323P00000X · Licence L324-076-1424 (TN)

Record details

NPI number1801018387
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFrontier Health
Authorized official Teresa Kidd — President/Ceo · (423) 467-3600
Other names R. Grant Widner Group Home; R. Grant Widner Group Home
NPI enumeratedMay 3, 2007
Last updated in NPPESOctober 5, 2018
Mailing addressPo Box 9054, Gray, TN 37615-9054