FREEDOM HEALTHCARE, LLC (NPI# 1184057481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184057481 |
| Entity Type | Organization |
| Organization Name | FREEDOM HEALTHCARE, LLC |
| Other Organization Name | COMMUNITY WELLNESS CENTER |
| Practice Address |
1119 E Monument St Baltimore MD 21202 |
| Mailing Address |
3310 Eastern Ave Baltimore MD 21224-4108 |
| Practice Telephone | 4437055056 |
| Mailing Telephone | 4370850564 |
| Mailing Fax Number | 4434497897 |
| Enumeration Date | 2013-08-10 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | MR. VERNON HOLMES JR. (CEO) |
| Authorized Official Telephone | 2023200501 |
| Authorized Official Credential | M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261Q00000X | Clinic/Center | MD | Ambulatory Health Care Facilities | |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Community Wellness Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 908 Valley St, Lower Level, Baltimore, MD 212025460 | 2023200501 | 8882441449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205257557 | Freedom Healthcare, LLC | Clinic/Center | 3310 Eastern Ave, Baltimore, MD 21224-4108 | 2014-01-03 |
| 1003241951 | Freedom Healthcare, LLC | Clinic/Center | 908 Valley St, Lower Level, Baltimore, MD 21202-5460 | 2013-09-11 |
| 1205827441 | Freedom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2641 Veach Rd, Owensboro, KY 42303-5579 | 2005-11-04 |
| 1306485966 | Freedom Healthcare, LLC | Family Medicine | 1119 E Monument St, Baltimore, MD 21202-4119 | 2019-12-31 |
| 1487106472 | Freedom Healthcare, LLC | Clinic/Center | 3310 Eastern Ave, Baltimore, MD 21224-4108 | 2016-10-26 |
| 1770916306 | Freedom Healthcare, LLC | General Practice | 8899 S 700 E, Ste 250, Sandy, UT 84070 | 2013-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | FREEDOM HEALTHCARE, LLC | 50 Old Stable Drive, Mansfield, MA 02048 |
| Street Address |
1119 E MONUMENT ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485966 | Freedom Healthcare, LLC | Family Medicine | 1119 E Monument St, Baltimore, MD 21202-4119 | 2019-12-31 |
| 1326507765 | Lighthouse Behavioral Health, LLC Withdrawal Management Service | Substance Abuse Rehabilitation Facility | 1119 E Monument St, Baltimore, MD 21202-4119 | 2019-03-15 |
| 1740745694 | Lighthouse Behavioral Health Center LLC | Clinic/Center | 1119 E Monument St, Baltimore, MD 21202-4119 | 2019-02-05 |
| 1437614583 | Lighthouse Behavioral Health Center, LLC | Early Intervention Provider Agency | 1119 E Monument St, Baltimore, MD 21202-4119 | 2019-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| 1265071278 | Marketing and Medical Services LLC | Family Medicine | 3001 S Hanover St Ste 201, Baltimore, MD 21225-1233 | 2019-12-23 |
| 1871134783 | Tysheka Cephas | Family Medicine | 5951 Schering Rd, Baltimore, MD 21206-3144 | 2019-10-02 |
| 1740712330 | Julia Sarah Maria Silva | Family Medicine | 29 S Paca St Dept Of, Baltimore, MD 21201-1771 | 2017-04-01 |
| 1275071375 | Martina P Callum M.d., LLC | Family Medicine | 1900 E Northern Pkwy Ste 3a, Baltimore, MD 21239-2113 | 2017-02-08 |
| 1992134738 | Your Health Network, Inc. | Family Medicine | 3000 Falls Rd, Suite 1, Baltimore, MD 21211-2435 | 2013-11-02 |
| 1124370788 | Phung Lieu Levin | Family Medicine | 920 Newington Ave, Baltimore, MD 21217-4631 | 2012-10-08 |
| 1912264441 | Katherine Stolarz | Family Medicine | 9101 Franklin Square Dr Ste 300, Baltimore, MD 21237-3966 | 2012-04-22 |
| 1760758684 | Peter Michael Burkill | Family Medicine | 6535 N Charles St Ste 100, Baltimore, MD 21204-5828 | 2012-03-25 |
| 1083997860 | Manisha A Sharma | Family Medicine | 733 W 40th St, Suite 200, Baltimore, MD 21211-2112 | 2011-09-28 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.