Active NPI
Tonya C Freeman, RN
- Adult Care Home Facility
- Colerain, NC
National Provider Identifier
1568951986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 404 W River St
Colerain, NC 27924-8879 - Phone
- (252) 642-4666
- NPI assigned
- May 2, 2018
- Last updated
- May 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
404 W River St
Colerain, NC 27924-8879
Mailing address
404 W River St
Colerain, NC 27924-8879
Phone (252) 642-4666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tonya Clark Freeman | Adult Care Home | Current | Accepting new patients |
| Tonya Clark Freeman | Adult Care Home | Current | Accepting new patients |
Locations
404 W River St
Colerain, NC 27924
Phone (252) 356-9954
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1568951986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W RIVER ST",
"city": "COLERAIN",
"state": "NC",
"postal_code": "279248879",
"telephone_number": "252-642-4666",
"fax_number": "252-356-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W RIVER ST",
"city": "COLERAIN",
"state": "NC",
"postal_code": "279248879",
"telephone_number": "252-642-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "TONYA",
"middle_name": "C",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colerain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.