Freedom of Choice Heathcare, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000567 Issued in NJ

Legal business name

FREEDOM OF CHOICE HEATHCARE, INC

Practice address

533 32ND Street
Union City, NJ 07087

Phone

(201) 766-6617

Fax

(201) 766-6619

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Juanita Winslow

Title

Chief Executive Officer

Phone

(201) 766-6617

Specialties & licenses 3

Addresses

Tax ID family

Freedom of Choice Heathcare Inc2 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.

• Freedom of Choice Heathcare, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Union City, NJ
  • NPI 1821507625
  NPD tax ID

Locations

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1861828535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 32ND STREET",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-766-6617",
            "fax_number": "201-766-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 32ND STREET",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-766-6617",
            "fax_number": "201-766-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM OF CHOICE HEATHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "201-766-6617"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "2000567",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "2000567",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four Corners Community Services LLC
• Jose R Fragoso, MD
• Francisco D Gonzalez MD PA
• Goelis Francisco, BCJ
• Freedom of Choice Heathcare, Inc
• Fresenius Medical Care Union City Home, LLC
• Katerina Fuentes
• Peter F Fuentes, DMD
• Bernard Dela Cuesta Gabriel Jr., RN
• Pragnesh H Gadhvi, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Union City, NJ
• Providers in Union City, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.