OrganizationActive
Frontier Health
NPI 1144460817 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kingsport, TN
Provider details
- NPI number
- 1144460817
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Frontier Health
- Organization subpart
- Yes
- Authorized official
- Kristie Hammonds, President & Ceo(423) 467-3600
- License
- L000000002478 (TN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense L000000002478 (TN)
Residential Treatment Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2301 E Center St
Kingsport, TN 37664-2701
Phone: (423) 247-4000
Fax: (423) 467-3644
Street-level locationGet directions
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Other names (DBA / former)
- Other name
- Eldreth House
- Other name
- Eldreth House
Registry dates
- Enumerated
- 2009-02-20
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.