Individual provider Active NPI

Autheil Freckleton

  • Assisted Living Facility
  • Plantation, FL
National Provider Identifier
1023808003
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
13671 Issued in FL
Practice address
700 NW 65TH Ave
Plantation, FL 33317-1706
Phone
(954) 792-4874
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 13671 FL Primary

Addresses

Primary practice location

700 NW 65TH Ave
Plantation, FL 33317-1706

Mailing address

700 NW 65TH Ave
Plantation, FL 33317-1706
Phone (954) 792-4874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13671FLMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Knock Your Socks Off Foot & Ankle Specialist LLC PastSince May 18, 2025 Accepting new patients
Dejay'S Adult Care LLC PastSince May 18, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1023808003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 65TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171706",
            "telephone_number": "954-792-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NW 65TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171706",
            "telephone_number": "954-792-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRECKLETON",
        "first_name": "AUTHEIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.