Active NPI
JQ Freedom Staffing
- Home Health Aide
- Tacoma, WA
National Provider Identifier
1205683141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- JQ FREEDOM STAFFING
- Practice address
- 748 Market St # M2
Tacoma, WA 98402-3737 - Phone
- (206) 478-6796
- NPI assigned
- Apr 30, 2024
- 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
- Joquetta M Ezell, MBA, MHRM, PHR
- Title
- President
- Phone
- (206) 478-6796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
748 Market St # M2
Tacoma, WA 98402-3737
Mailing address
748 Market St # M2
Tacoma, WA 98402-3737
Phone (206) 478-6796
National Provider Directory
National Provider DirectoryLocations
748 Market St
#M2
Tacoma, WA 98402
Phone (206) 478-6796
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1205683141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 MARKET ST # M2",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023737",
"telephone_number": "206-478-6796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 MARKET ST # M2",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023737",
"telephone_number": "206-478-6796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JQ FREEDOM STAFFING",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-30",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "EZELL",
"authorized_official_first_name": "JOQUETTA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-478-6796",
"authorized_official_credential": "MBA, MHRM, PHR"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.