OrganizationActive
Frontier Health
NPI 1790836831 · Child Intellectual and/or Developmental Disabilities Respite Care · Duffield, VA
Provider details
- NPI number
- 1790836831
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- E Varney, President and Ceo(423) 467-3600
- License
- 315-01-001 (VA)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense 315-01-001 (VA)
Respite Care Facility
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 315-01-001 (VA)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
103 Fraley Ave
Duffield, VA 24244-9798
Phone: (276) 443-1415
Fax: (276) 431-2640
Street-level locationGet directions
Mailing address
Po Box 9054
Gray, TN 37615-9054
Other names (DBA / former)
- Doing business as
- Park Place Residential Service
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.