FAIMOUNT GROUP HOME
NPI 1073735643
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bristol, TN

NPI Status: Active since May 03, 2007

Contact Information

719 KENTUCKY AVE
BRISTOL, TN
ZIP 37620
Phone: (423) 968-2532

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About FAIMOUNT GROUP HOME

This page provides the complete NPI Profile along with additional information for Faimount Group Home, a provider established in Bristol, Tennessee operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1073735643 assigned on May 2007. The practitioner's primary taxonomy code is 320900000X with license number L 324-076-1411 (TN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Faimount Group Home. The authorized official of this NPI record is Mrs. Kristie Hammonds (President And Ceo)

NPI
1073735643
Provider Legal Name
FRONTIER HEALTH
Other Organization Name
FAIMOUNT GROUP HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
719 KENTUCKY AVE BRISTOL, TN 37620
Location Phone
(423) 968-2532
Mailing Address
PO BOX 9054 GRAY, TN 37615
Mailing Phone
(423) 467-3600
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
01-10-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
L 324-076-1411
License State
TN
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KRISTIE HAMMONDS

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(423) 467-3600

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073735643
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431431068
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 4 + 3 + 1 + 0 + 6 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1073735643 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073735643, enumerated in the NPI registry as an "organization" on May 03, 2007

The provider is located at 719 Kentucky Ave Bristol, Tn 37620 and the phone number is (423) 968-2532

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on May 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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