Freedom Dialysis One Inc

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

Legal business name

FREEDOM DIALYSIS ONE INC

Doing business as

Freedom Dialysis One INC

Practice address

7746 Highway 6 Ste C
Missouri City, TX 77459-4780

Phone

(212) 300-3484

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manaf Alroumoh, MD

Title

Ceo

Phone

(212) 300-3484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Freedom Dialysis One INC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1487254868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 HIGHWAY 6 STE C",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594780",
            "telephone_number": "212-300-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 HIGHWAY 6 STE C",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594780",
            "telephone_number": "212-300-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DIALYSIS ONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "ALROUMOH",
        "authorized_official_first_name": "MANAF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-300-3484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548350614",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "freedom-dialysis.com",
            "affiliation": "N",
            "endpointDescription": "Freedom Dialysis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Medical record",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Medical record",
            "address_1": "7746 Highway 6 Ste C",
            "city": "Missouri City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774594780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Freedom Dialysis One INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanice Fraser
• Aaron Wayne Frazier
• Herman Frazier Jr., BS
• Toni Frazier
• Freedom Dialysis Inc
• Erika Freeman
• Johnnie Collins Freeman
• Lisa Freeman, M.D.
• Friends of Creativekids, Inc. (Guardian Angel Maternity Homes)
• Front Line Health Care Solutions, LLC

• Durable Medical Equipment & Medical Supplies in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.