Active NPI
Freedom Healthcare, LLC
- Primary Care Clinic/Center
- Baltimore, MD
National Provider Identifier
1184057481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FREEDOM HEALTHCARE, LLC
- Practice address
- 1119 E Monument St
Baltimore, MD 21202 - Phone
- (667) 770-6320
- Fax
- (667) 770-6320
- NPI assigned
- Aug 10, 2013
- 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
- Mr. Vernon Holmes Jr., MBA
- Title
- Ceo
- Phone
- (667) 770-6320
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1119 E Monument St
Baltimore, MD 21202
Mailing address
3310 Eastern Ave
Baltimore, MD 21224-4108
Phone (667) 770-6320
Other practice location 1
3310 Eastern Ave
Baltimore, MD 21224-4108
Phone (667) 770-6320
Other names 2
- Community Wellness Center
- Community Wellness Center Primary Care Freestanding General Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Freedom Healthcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1306485966
Locations
3310 Eastern Ave
Baltimore, MD 21224
Phone (443) 708-5056
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Salisbury, MD
- NPI 1275755076
-
- Psychiatric/Mental Health Nurse Practitioner
- Gaithersburg, MD
- NPI 1639865645
-
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
- NPI 1306569637
-
- Social Worker
- Baltimore, MD
- NPI 1740632173
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1548592926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1184057481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244108",
"telephone_number": "667-770-6320",
"fax_number": "667-770-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 E MONUMENT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202",
"telephone_number": "667-770-6320",
"fax_number": "667-770-6320"
}
],
"practiceLocations": [
{
"address_1": "3310 Eastern Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212244108",
"country_code": "US",
"telephone_number": "667-770-6320",
"fax_number": "667-770-6320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FREEDOM HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-10",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "VERNON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "667-770-6320",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Community Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Community Wellness Center Primary Care Freestanding General Clinic",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.