Active NPI
Freedom Home Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Morgantown, WV
National Provider Identifier
1104186063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.