NPIMap

Organization Active NPI

Freedomcare LLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1003412990
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FREEDOMCARE LLC
Practice address
6300 Westpark Dr Ste 130
Houston, TX 77057-7205
Phone
(832) 834-5631
Fax
(832) 834-5719
NPI assigned
Dec 7, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Angela Henderson-Johnson, RN
Title
Administrator
Phone
(832) 216-9078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

6300 Westpark Dr Ste 130
Houston, TX 77057-7205

Mailing address

6300 Westpark Dr Ste 130
Houston, TX 77057-7205
Phone (832) 834-5631

Other identifiers 1

IdentifierTypeStateIssuer
20378085OtherTXDRIVER'S LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1003412990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577205",
            "telephone_number": "832-834-5631",
            "fax_number": "832-834-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577205",
            "telephone_number": "832-834-5631",
            "fax_number": "832-834-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOMCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON-JOHNSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-216-9078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "20378085",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.