Organization Active NPI

Freeman'S Assisted Living LLC

  • Assisted Living Facility
  • Desoto, TX
National Provider Identifier
1528320520
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FREEMAN'S ASSISTED LIVING LLC
Practice address
500 Creektree Dr
Desoto, TX 75115
Phone
(972) 310-8741
Fax
(888) 817-8064
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Nolan Freeman, STATE LICENSED FACIL
Title
Manager
Phone
(972) 310-8741

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Physical Disabilities Residential Treatment Facility 320700000X 128061 TX
Physical Disabilities Residential Treatment Facility 320700000X

Addresses

Primary practice location

500 Creektree Dr
Desoto, TX 75115

Mailing address

PO Box 1574
Mansfield, TX 76063
Phone (972) 310-8741

National Provider Directory

National Provider Directory
Tax ID family
Freeman'S Assisted Living Facility2 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": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1528320520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1574",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "972-310-8741",
            "fax_number": "888-817-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CREEKTREE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-310-8741",
            "fax_number": "888-817-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN'S ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-310-8741",
        "authorized_official_credential": "STATE LICENSED FACIL"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": "128061",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.