NPIMap

Organization Active NPI

Freetown Health Group, LLC

  • Substance Abuse Rehabilitation Facility
  • El Mirage, AZ
National Provider Identifier
1427836030
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FREETOWN HEALTH GROUP, LLC
Practice address
11648 W Redfield Rd
El Mirage, AZ 85335-5948
Phone
(240) 713-1561
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Hassan Bundu
Title
Ceo
Phone
(623) 440-1762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

11648 W Redfield Rd
El Mirage, AZ 85335-5948

Mailing address

11648 W Redfield Rd
El Mirage, AZ 85335-5948
Phone (240) 713-1561

Other names 1

  • FREETOWN HEALTH GROUP, LLC Former legal business name

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1427836030",
    "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": "11648 W REDFIELD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853355948",
            "telephone_number": "240-713-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREETOWN HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "BUNDU",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-440-1762"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREETOWN HEALTH GROUP, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Mirage, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.