Freedom Rock Family Estates Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

FREEDOM ROCK FAMILY ESTATES INC

Doing business as

Family Matters 2 Residential Treatment Facility

Practice address

22552 Restful LN
Waynesville, MO 65583-3375

Phone

(573) 774-3738

Fax

(573) 774-3738

NPI assigned

Dec 21, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Chylon E Long-Moses

Title

Program Director

Phone

(913) 306-3052

Specialties & licenses 1

Addresses

Other names 1

• Family Matters 2 Residential Treatment Facility Doing business as

Electronic endpoints 1

Tax ID family

Family Matters 2 Residential Treatment Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Rock Family Estates Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Waynesville, MO
  • NPI 1871226696
  NPD tax ID

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1225740277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22552 RESTFUL LN",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833375",
            "telephone_number": "573-774-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22552 RESTFUL LN",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833375",
            "telephone_number": "573-774-3738",
            "fax_number": "573-774-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM ROCK FAMILY ESTATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "LONG-MOSES",
        "authorized_official_first_name": "CHYLON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "913-306-3052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TLS",
            "affiliation": "N",
            "endpointDescription": "Transport Layer Security",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22552 Restful Ln",
            "city": "Waynesville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "655833375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Matters 2 Residential Treatment Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathy Flynt, LPC
• Fnp4Jc, LLC
• John Richard Fontana, PHD.
• Linda Fowler
• Free Women'S Center of Pulaski County
• Freedom Rock Family Estates Inc
• Linda D Fritchey, LPC
• Kristin Alicia Scolarici Frjelich
• Keisha Fuentez
• Anthony Loring Galloway

• Emotionally Disturbed Childrens' Residential Treatment Facility in Waynesville, MO
• Providers in Waynesville, MO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.