Freedom Rehab LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FREEDOM REHAB LLC

Practice address

1325 23Rd St S Ste a
Fargo, ND 58103-3723

Phone

(701) 639-6250

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Frost

Title

Owner/Admin

Phone

(701) 639-6250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1861147191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10186",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581060186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 23RD ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033723",
            "telephone_number": "701-639-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "701-639-6250"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jared Freeman, DPT
• Joyce C Freeman
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• Seina Freidig

• Substance Use Disorder Rehabilitation Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.