A New Freedom Agency

Key facts

NPI

1861220196

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

A NEW FREEDOM AGENCY

Practice address

300 S 3Rd St
Richmond, KY 40475-1965

Phone

(502) 712-2802

NPI assigned

Jul 26, 2024

Organization subpart

No

Authorized official

Name

Jacqueline Sanders

Title

Credentialing Agent

Phone

(502) 630-2036

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 26, 2024.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1861220196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 3RD ST",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 3RD ST",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751965",
            "telephone_number": "502-712-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW FREEDOM AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "502-630-2036"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Richmond, KY · Community/Behavioral Health Agency in Kentucky