Freedom Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FREEDOM HEALTHCARE, LLC

Doing business as

Community Wellness Center Freestanding General Clinic

Practice address

1119 E Monument St
Baltimore, MD 21202-4119

Phone

(443) 708-5056

NPI assigned

Dec 31, 2019

Last updated

Dec 31, 2019By 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

Vernon Holmes

Title

Ceo

Phone

(443) 478-0384

Specialties & licenses 1

Addresses

Other names 1

• Community Wellness Center Freestanding General Clinic Doing business as

Tax ID family

Freedom Healthcare LLC2 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 Healthcare, LLC

  dba Community Wellness Center

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1184057481
  NPD tax ID

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1306485966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024119",
            "telephone_number": "443-708-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024119",
            "telephone_number": "443-708-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-478-0384"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Wellness Center Freestanding General Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophie Rebecca Freedman
• Theodore Stuart Freedman, DDS
• Freedom Care of Maryland LLC
• Freedom Counseling and Consulting Services, LLC
• Freedom Healthcare, LLC (Community Wellness Center)
• Freedom Healthcare, LLC (Community Wellness PRP)
• Howard S. Freeland, M.D.
• Betty Ruth Freeman, CRNP ADULT
• Bonnie Jean Freeman
• Colleen Callahan Freeman, RN, MS

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.