Freeman Recovery Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

I000000014963 Issued in TN

Legal business name

FREEMAN RECOVERY CENTER, LLC

Practice address

410 Center Ave
Dickson, TN 37055-2458

Phone

(615) 586-9672

Fax

(615) 446-6859

NPI assigned

Mar 19, 2014

Last updated

Jan 6, 2016By 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

Mr. Shawn Baker

Title

President/Ceo

Phone

(615) 586-9672

Specialties & licenses 1

Addresses

Tax ID family

Freeman Recovery Center LLC2 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.

• Freeman Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Dickson, TN
  • NPI 1699181420
  NPD tax ID

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1952728685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CENTER AVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552458",
            "telephone_number": "615-586-9672",
            "fax_number": "615-446-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CENTER AVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552458",
            "telephone_number": "615-586-9672",
            "fax_number": "615-446-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "615-586-9672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "I000000014963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Kim Fox, PHARMACIST
• Tonia Foyt, N.P.
• Freeman Diagnostics, LLC
• Freeman Health Partners Medical Services, PC
• Freeman Recovery Center, LLC
• Friends and Family Healthcare, LLC.
• Toni Brooke Fussell
• Nancy Futch
• Ciara Garcia Gentle, DPT
• Hailey Elizabeth Germanoski, MS, CF-SLP

• Substance Abuse Rehabilitation Facility in Dickson, TN
• Providers in Dickson, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.