NPIMap

Organization Active NPI

Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Creedmoor, NC
National Provider Identifier
1356787311
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FREEDOM HOUSE RECOVERY CENTER, INC.
Practice address
402 Main St
Creedmoor, NC 27522
Phone
(919) 529-2474
NPI assigned
May 17, 2013
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
INSIGHT HUMAN SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Jeffrey Matkins
Title
Ceo
Phone
(336) 725-8389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

402 Main St
Creedmoor, NC 27522

Mailing address

104 New Stateside Dr
Chapel Hill, NC 27516-1165
Phone (919) 942-2803

Other names 1

  • Granville Counseling Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Freedom House Recovery Center28 organizations share this tax ID, including this one
Part of
Insight Human Services

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1356787311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NEW STATESIDE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275161165",
            "telephone_number": "919-942-2803",
            "fax_number": "919-942-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "919-529-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOUSE RECOVERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSIGHT HUMAN SERVICES, INC.",
        "enumeration_date": "2013-05-17",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "MATKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-725-8389"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granville Counseling Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Granville Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.