NPIMap

Organization Active NPI

Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
National Provider Identifier
1548490378
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-068-118 Issued in NC
Legal business name
FREEDOM HOUSE RECOVERY CENTER, INC.
Practice address
110 New Stateside Dr
Chapel Hill, NC 27516
Phone
(919) 967-8844
Fax
(919) 929-0601
NPI assigned
Jul 14, 2009
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Joyce Harper
Title
Ceo
Phone
(919) 942-2803

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MHL-068-118 NC
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-068-118 NC
Community/Behavioral Health Agency 251S00000X MHL-068-118 NC Primary

Addresses

Primary practice location

110 New Stateside Dr
Chapel Hill, NC 27516

Mailing address

104 New Stateside Dr
Chapel Hill, NC 27516-1165
Phone (919) 942-2803

Other identifiers 3

IdentifierTypeStateIssuer
8300557CMedicaidNC
8300557MMedicaidNC
8300557FMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090619000344 NC Part B Supplier - Clinic/Group Practice 5193898229 Receives reassigned benefits from 18 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chapel Hill, NC; Durham, NC; Roxboro, NC; Warrenton, NC

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2055646Freedom House Recovery Center110 New Stateside Drive, Chapel Hill, NC 27516Certificate of waiverMar 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Freedom House Recovery Center28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

118 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505

121 S Estes Dr
Ste 100
Chapel Hill, NC 27514
Phone (919) 913-4200

287 East St
Ste 221
Pittsboro, NC 27312
Phone (919) 542-0766

287 East St
Ste 421
Pittsboro, NC 27312
Phone (919) 542-4422

288 East St
Ste 1004
Pittsboro, NC 27312
Phone (919) 602-5438

355 S Madison Blvd
#C1
Roxboro, NC 27573
Phone (336) 599-8366

133 S Main St
Warrenton, NC 27589
Phone (252) 456-6541

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1548490378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NEW STATESIDE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275161165",
            "telephone_number": "919-942-2803",
            "fax_number": "919-942-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEW STATESIDE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27516",
            "telephone_number": "919-967-8844",
            "fax_number": "919-929-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOUSE RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-942-2803"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": "MHL-068-118",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-068-118",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-068-118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300557C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300557M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300557F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.