Organization Active NPI

Freedom Callers

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1437204609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3587 Issued in NC
Legal business name
FREEDOM CALLERS
Practice address
4607 Canipe Dr
Charlotte, NC 28269-5016
Phone
(704) 777-9330
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Samuel Willis Jordan Jr.
Title
Operations Manager
Phone
(704) 777-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3587 NC Primary

Addresses

Primary practice location

4607 Canipe Dr
Charlotte, NC 28269-5016

Mailing address

4607 Canipe Dr
Charlotte, NC 28269-5016

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437204609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 CANIPE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 CANIPE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695016",
            "telephone_number": "704-777-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CALLERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-777-9330",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.