Organization Active NPI

Freeman Enrichment Center Inc

  • Foster Care Agency
  • N Las Vegas, NV
National Provider Identifier
1225366404
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
FREEMAN ENRICHMENT CENTER INC
Practice address
3013 Blush Noisette Ave
N Las Vegas, NV 89081-6443
Phone
(702) 767-4654
Fax
(310) 886-3258
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Dr. Cecilia Jefferson Freeman, PH.D.
Title
President of Board
Phone
(310) 763-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X NV Primary

Addresses

Primary practice location

3013 Blush Noisette Ave
N Las Vegas, NV 89081-6443

Mailing address

PO Box 11146
Carson, CA 90749-1146
Phone (310) 763-1660

National Provider Directory

National Provider Directory

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": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1225366404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11146",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907491146",
            "telephone_number": "310-763-1660",
            "fax_number": "310-886-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 BLUSH NOISETTE AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890816443",
            "telephone_number": "702-767-4654",
            "fax_number": "310-886-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN ENRICHMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD",
        "authorized_official_telephone_number": "310-763-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.