Organization Active NPI

Freedom by Faith, LLC

  • Religious Nonmedical Practitioner
  • Belleville, MI
National Provider Identifier
1841927787
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical PractitionerTaxonomy code 374K00000X
Legal business name
FREEDOM BY FAITH, LLC
Practice address
46670 Claxton Dr
Belleville, MI 48111-8677
Phone
(313) 721-0101
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Mrs. Shelby Lynn Garduno, BSN, RN, CCM
Title
Ceo
Phone
(313) 721-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Practitioner 374K00000X NU Primary

Addresses

Primary practice location

46670 Claxton Dr
Belleville, MI 48111-8677

Mailing address

46670 Claxton Dr
Belleville, MI 48111-8677
Phone (313) 721-0101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1841927787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46670 CLAXTON DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481118677",
            "telephone_number": "313-721-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46670 CLAXTON DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481118677",
            "telephone_number": "313-721-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM BY FAITH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "GARDUNO",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-721-0101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN, CCM"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.