Freedom Ministries Church and Outreach

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FREEDOM MINISTRIES CHURCH AND OUTREACH

Practice address

539 Railway Place
Concord, NC 28025-0000

Phone

(704) 231-6935

NPI assigned

Jan 15, 2015

Organization subpart

Yes

Parent organization

FREEDOM MINISTRIES CHURCH AND OUTREACHAs reported in NPPES

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

Authorized official

Name

Donna Wall

Title

Owner

Phone

(704) 231-6935

Specialties & licenses 2

Addresses

Other names 1

• Donna's Home Healthcare Former legal business name

Part of

Donna'S Home Healthcare

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1275922171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 RAILWAY PLACE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250000",
            "telephone_number": "704-231-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 RAILWAY PLACE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250000",
            "telephone_number": "704-231-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MINISTRIES CHURCH AND OUTREACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEDOM MINISTRIES CHURCH AND OUTREACH",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-231-6935"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna's Home Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lacaya Frazier
• Erica L Frechman, NP
• Scarlett Elena Frederic
• Carrell Octavia Frederick, LCMHC
• Jason K Freeburne, ARNP
• Julie Freeland, FNP
• Brendan Freeman, PA-C
• Sarah Freeman
• Taylor Freeman, MA, LCMHCA
• Traevon Freeman

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Concord, NC
• Providers in Concord, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.