Freetown Health Group, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FREETOWN HEALTH GROUP, LLC

Practice address

14660 W Gelding Dr
Surprise, AZ 85379-5752

Phone

(623) 440-1762

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Hassan Bundu

Title

Ceo/Administrator

Phone

(240) 713-1561

Specialties & licenses 1

Addresses

Other names 1

• FREETOWN HEALTH GROUP, LLC Former legal business name

Electronic endpoints 1

Tax ID family

Freetown Health Group 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.

• Freetown Health Group, LLC

  • Substance Abuse Rehabilitation Facility
  • El Mirage, AZ
  • NPI 1427836030
  NPD tax ID

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1306598271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11648 W REDFIELD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853355948",
            "telephone_number": "240-713-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 W GELDING DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795752",
            "telephone_number": "623-440-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREETOWN HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "BUNDU",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "240-713-1561"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hkbundu@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Receive and send secure health information",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "word, pdf, excel, csv",
            "address_1": "14660 W Gelding Dr",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853795752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FREETOWN HEALTH GROUP, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Megan Angela Fraser, NP
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• Achante' Freenan, DPT
• C. Robert Frey
• Philip Friedrich
• Melinda Thomasine Friend, BHT
• Shannon Casey Ilene Friend
• Frontstep Social Services LLC

• Substance Abuse Rehabilitation Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

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