Freeman House, Inc

Primary specialty

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

Legal business name

FREEMAN HOUSE, INC

Practice address

2909 E Virginia Beach Blvd
Norfolk, VA 23504

Phone

(757) 622-1603

Fax

(757) 622-0758

NPI assigned

Feb 26, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FREEMAN HOUSE, INCAs reported in NPPES

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

Authorized official

Name

Ms. Khalilah M Shabazz

Title

Chief Administrative Officer

Phone

(757) 622-1603

Specialties & licenses 1

Addresses

Part of

Freeman House Inc

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1336318179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23504",
            "telephone_number": "757-622-1603",
            "fax_number": "757-622-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23504",
            "telephone_number": "757-622-1603",
            "fax_number": "757-622-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN HOUSE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEMAN HOUSE, INC",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "SHABAZZ",
        "authorized_official_first_name": "KHALILAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "757-622-1603",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Wilhelmina Frazier, D.D.S.
• Robert Anthony Frazier Jr., M.D.
• Robert Martin Frederick II, MD
• Staci Fredrick, LPTA
• Derek Robert Free, ACNPC-AG, CNP
• Erin Nicole Freeman, LPC
• Jacob T Freeman
• Douglas Hall Freer, MD
• Adam Freis, CRNA
• Jessica Freis, CRNA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.