Organization Active NPI

Freedom Home Inc.

  • Clinical Social Worker
  • Port Saint Lucie, FL
National Provider Identifier
1518324722
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10997 Issued in FL
Legal business name
FREEDOM HOME INC.
Practice address
2702 SE Export Ave
Port Saint Lucie, FL 34952-7228
Phone
(772) 626-2321
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Janet Santiago, LCSWNPI 1578865895
Title
President
Phone
(772) 626-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW10997 FL
Clinical Social Worker 1041C0700X SW10997 FL Primary

Addresses

Primary practice location

2702 SE Export Ave
Port Saint Lucie, FL 34952-7228

Mailing address

2702 SE Export Ave
Port Saint Lucie, FL 34952-7228
Phone (772) 626-2321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1518324722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 SE EXPORT AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527228",
            "telephone_number": "772-626-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 SE EXPORT AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527228",
            "telephone_number": "772-626-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-626-2321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW10997",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.