Home Freedom LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

225X00000X Issued in UT

Legal business name

HOME FREEDOM LLC

Practice address

3448 S 5100 W
West Haven, UT 84401-9435

Phone

(801) 814-3303

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Charity Sue Davis, OTRLNPI 1720018294

Title

Manager

Phone

(801) 814-3303

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charity Sue Davis, OTR/L

  • Occupational Therapist
  • West Haven, UT
  • NPI 1720018294
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245307313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 S 5100 W",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019435",
            "telephone_number": "801-814-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 S 5100 W",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019435",
            "telephone_number": "801-814-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FREEDOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-814-3303",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "225X00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Creek Partners LLC (Haven Creek Partners Assisted Living)
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• HCA Healthcare Laboratory Services Utah LLC
• Andrew George Clinton Helman, O.D.
• Susan Dee Hodges
• Hope Centered Therapy
• Amy J Hopkins, LCSW
• Jennie Houtz, LCSW
• Jessica Morgan Jensen, LCSW
• Joann Barile

• Occupational Therapist in West Haven, UT
• Providers in West Haven, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.