Organization Active NPI

Freedom Adult Foster Care Corp.

  • Developmentally Disabled Services Day Training Agency
  • Clarkston, MI
National Provider Identifier
1861607046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FREEDOM ADULT FOSTER CARE CORP.
Practice address
3990 Bird Rd
Clarkston, MI 48348-1014
Phone
(248) 625-7923
Fax
(248) 625-1852
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Danny Wayne Souheaver Sr.
Title
President
Phone
(248) 625-7923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3990 Bird Rd
Clarkston, MI 48348-1014

Mailing address

3990 Bird Rd
PO Box 1588
Clarkston, MI 48348-1014
Phone (248) 625-7923

National Provider Directory

National Provider Directory
Tax ID family
Freedom Adult Foster Care Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861607046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 BIRD RD",
            "address_2": "PO BOX 1588",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483481014",
            "telephone_number": "248-625-7923",
            "fax_number": "248-625-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 BIRD RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483481014",
            "telephone_number": "248-625-7923",
            "fax_number": "248-625-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM ADULT FOSTER CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUHEAVER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-625-7923",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.