Freedom Rest of Kennesaw LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

PCH006452 Issued in GA

Legal business name

FREEDOM REST OF KENNESAW LLC

Practice address

3351 Owens Brook Way NW
Kennesaw, GA 30152-2566

Phone

(770) 693-0863

Fax

(770) 693-0863

NPI assigned

May 4, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Letice Wilson

Title

Director

Phone

(678) 499-6426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1306105812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 OWENS BROOK WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522566",
            "telephone_number": "770-693-0863",
            "fax_number": "770-693-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 OWENS BROOK WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522566",
            "telephone_number": "770-693-0863",
            "fax_number": "770-693-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM REST OF KENNESAW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "LETICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-499-6426",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "PCH006452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Rivas Franklin, MSN, APRN, FNP - C
• Tanisha Franklin, OTA002127
• Stephanie Fransoso, DMD
• Frederick C. Shaw & Associates
• Alan I Freedman, MD
• Adam Reed Freeman, ED.S., ATC
• Kimm Freeman
• Elspeth A. French, OT
• Friends Today, LLC.
• Full Blossom Behavioral Health Consultants, LLC

• Assisted Living Facility in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.