Organization Active NPI

Free Will Baptist Family Ministries, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Greeneville, TN
National Provider Identifier
1023394186
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
SO10855A Issued in TN
Legal business name
FREE WILL BAPTIST FAMILY MINISTRIES, INC.
Practice address
90 Stanley Lane
Greeneville, TN 37743
Phone
(423) 639-9449
Fax
(423) 639-5083
NPI assigned
Nov 2, 2011
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Ms. Cheryl Ann Henry, R.N.
Title
Chief Operating Officer
Phone
(423) 639-9449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X SO10855A TN Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X L000000007820 TN

Addresses

Primary practice location

90 Stanley Lane
Greeneville, TN 37743

Mailing address

90 Stanley LN
Greeneville, TN 37743-6066
Phone (423) 639-9449

National Provider Directory

National Provider Directory
Tax ID family
Free Will Baptist Family Ministries3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1023394186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 STANLEY LN",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377436066",
            "telephone_number": "423-639-9449",
            "fax_number": "423-639-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 STANLEY LANE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37743",
            "telephone_number": "423-639-9449",
            "fax_number": "423-639-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE WILL BAPTIST FAMILY MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "423-639-9449",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "SO10855A",
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "TN",
            "license": "L000000007820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.