Freedom Assembly

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

31040000036232 Issued in CA

Legal business name

FREEDOM ASSEMBLY

Practice address

10866 Washington Blvd
757
Culver City, CA 90232-3610

Phone

(310) 836-2399

Fax

(310) 836-2399

NPI assigned

Feb 11, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Joset Roberts

Title

Executive Director

Phone

(310) 836-2399

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1710301767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10866 WASHINGTON BLVD",
            "address_2": "757",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-836-2399",
            "fax_number": "310-836-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10866 WASHINGTON BLVD",
            "address_2": "757",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-836-2399",
            "fax_number": "310-836-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM ASSEMBLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOSET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-836-2399",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "31040000036232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHARC",
            "identifier": "FY0607",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie Beth Fratantuno, DOULA
• Yvette Frausto
• Hannah Frazee
• Frederick Rutherford, D.D.S., Inc.
• Fredi the Doula LLC
• Lakesha Freeman
• Otis C Freeman
• Shelley Elizabeth Freeman, NP
• Anthony Alan Freitas
• Kerri Ann French, FNP

• Assisted Living Facility in Culver City, CA
• Providers in Culver City, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.