NPIMap

Organization Active NPI

Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Pittsboro, NC
National Provider Identifier
1982875241
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FREEDOM HOUSE RECOVERY CENTER, INC.
Practice address
288 East St
Ste 1004
Pittsboro, NC 27312
Phone
(919) 602-5438
NPI assigned
Mar 14, 2008
Organization subpart
Yes
Parent organization
INSIGHT HUMAN SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Jeffrey Matkins
Title
Ceo
Phone
(336) 725-8389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

288 East St
Ste 1004
Pittsboro, NC 27312

Mailing address

104 New Stateside Dr
Chapel Hill, NC 27516-1165
Phone (919) 942-2803

Other identifiers 4

IdentifierTypeStateIssuer
8302249VMedicaidNC
8302249HMedicaidNC
6006408MedicaidNC
8302249BMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090619000344 NC Part B Supplier - Clinic/Group Practice 5193898229 Receives reassigned benefits from 18 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chapel Hill, NC; Durham, NC; Roxboro, NC; Warrenton, NC

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Insight Human Services

Locations

288 East St
Ste 1004
Pittsboro, NC 27312
Phone (919) 602-5438

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1982875241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NEW STATESIDE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275161165",
            "telephone_number": "919-942-2803",
            "fax_number": "919-942-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 EAST ST",
            "address_2": "STE 1004",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "919-602-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOUSE RECOVERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSIGHT HUMAN SERVICES, INC.",
        "enumeration_date": "2008-03-14",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "MATKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-725-8389"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302249V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302249H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006408",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302249B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.