NPIMap

Organization Active NPI

Freedom Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • London, OH
National Provider Identifier
1841054665
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
FREEDOM RECOVERY LLC
Practice address
26 E High St
London, OH 43140-1209
Phone
(740) 956-1302
NPI assigned
Feb 12, 2024
Organization subpart
Yes
Parent organization
FREEDOM RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Jessie Costley
Title
Credentialing Specialist
Phone
(443) 839-6928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

26 E High St
London, OH 43140-1209

Mailing address

4998 W Broad St Ste 104
Columbus, OH 43228-1647
Phone (614) 754-8051

National Provider Directory

National Provider Directory
Tax ID family
Freedom Recovery7 organizations share this tax ID, including this one
Part of
Freedom Recovery

Other organizations with this tax ID 6

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

Locations

26 E High St
London, OH 43140
Phone (740) 852-5100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1841054665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 W BROAD ST STE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281647",
            "telephone_number": "614-754-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E HIGH ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401209",
            "telephone_number": "740-956-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEDOM RECOVERY",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "COSTLEY",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "443-839-6928"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.