Organization Active NPI

Freedom House Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Signal Hill, CA
National Provider Identifier
1477384568
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FREEDOM HOUSE RECOVERY, INC.
Practice address
2501 E 28TH St Ste 102
Signal Hill, CA 90755-2156
Phone
(323) 471-8090
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Mr. Raymond Montclar
Title
Cfo
Phone
(323) 471-8090

Specialties & licenses 1

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

Addresses

Primary practice location

2501 E 28TH St Ste 102
Signal Hill, CA 90755-2156

Mailing address

2501 E 28TH St Ste 102
Signal Hill, CA 90755-2156
Phone (323) 471-8090

National Provider Directory

National Provider Directory

Locations

2501 E 28th St
Ste 102
Signal Hill, CA 90755
Phone (323) 471-8090

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1477384568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E 28TH ST STE 102",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552156",
            "telephone_number": "323-471-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E 28TH ST STE 102",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552156",
            "telephone_number": "323-471-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOUSE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "MONTCLAR",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-471-8090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.