Active NPI
Freedom Rock Family Estates Inc
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Waynesville, MO
National Provider Identifier
1871226696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- FREEDOM ROCK FAMILY ESTATES INC
- Doing business as
- Family Matters2
Family Matters2 Residential Treatment Facility - Practice address
- 22552 Restful LN
Waynesville, MO 65583-3375 - Phone
- (573) 774-3738
- Fax
- (573) 774-3738
- NPI assigned
- Jul 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chylon Long-Moses
- Title
- Ceo
- Phone
- (913) 306-3052
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
22552 Restful LN
Waynesville, MO 65583-3375
Mailing address
22552 Restful LN
Waynesville, MO 65583-3375
Phone (573) 774-3738
Other names 2
- Family Matters2
- Family Matters2 Residential Treatment Facility
National Provider Directory
National Provider Directory- Tax ID family
- Family Matters 2 Residential Treatment Facility
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Waynesville, MO
- NPI 1225740277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1871226696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22552 RESTFUL LN",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655833375",
"telephone_number": "573-774-3738",
"fax_number": "573-774-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22552 RESTFUL LN",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655833375",
"telephone_number": "573-774-3738",
"fax_number": "573-774-3738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM ROCK FAMILY ESTATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-08",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "LONG-MOSES",
"authorized_official_first_name": "CHYLON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "913-306-3052"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Matters2",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family Matters2",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family Matters2 Residential Treatment Facility",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.