Organization Active NPI

Freedom Home Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Morgantown, WV
National Provider Identifier
1104186063
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREEDOM HOME MEDICAL, LLC
Practice address
1222 Greenbag Rd
Morgantown, WV 26508-1535
Phone
(304) 599-3287
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Melissa Connell
Title
Operating Manager
Phone
(304) 599-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WV Primary

Addresses

Primary practice location

1222 Greenbag Rd
Morgantown, WV 26508-1535

Mailing address

1012 Village Dr
Morgantown, WV 26505-2816
Phone (304) 599-3287

National Provider Directory

National Provider Directory

Locations

1222 Greenbag Rd
Morgantown, WV 26508
Phone (304) 599-3287

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1104186063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 VILLAGE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052816",
            "telephone_number": "304-599-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081535",
            "telephone_number": "304-599-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "304-599-3287"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.