FREEDOM MINISTRIES CHURCH AND OUTREACH (NPI# 1275922171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275922171 |
Entity Type | Organization |
Organization Name | FREEDOM MINISTRIES CHURCH AND OUTREACH |
Other Organization Name | DONNA'S HOME HEALTHCARE |
Practice Address |
539 Railway Place Concord NC 28025-0000 |
Practice Telephone | 7042316935 |
Mailing Telephone | 7042316935 |
Enumeration Date | 2015-01-15 |
Last Update Date | 2015-01-15 |
Authorized Official Name | DONNA WALL (OWNER) |
Authorized Official Telephone | 7042316935 |
Is Organization Subpart | Y |
Parent Organization Name | FREEDOM MINISTRIES CHURCH AND OUTREACH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 311Z00000X | Custodial Care Facility | NC | Nursing & Custodial Care Facilities | |
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | NC | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Donna's Home Healthcare | Former Legal Business Name - Organization |
Street Address |
539 RAILWAY PLACE |
City | CONCORD |
State | NC |
Zip Code | 28025-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
Find all providers in zip 28025 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770797995 | Piedmont Area Mh, Dd, and Sa Area Authority | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 245 Le Phillip Ct, Concord, NC 28025-2900 | 2007-05-09 |
1598979726 | Piedmont Area Mh, Dd, and Sa Area Authority | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 245 Le Phillip Ct, Concord, NC 28025-2900 | 2007-05-09 |
1851417745 | Rha Health Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 Le Phillip Ct, Concord, NC 28025-1905 | 2007-03-22 |
1043334626 | State of New Hampshire | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 99 Pleasant St, Howard Recreation Center, Concord, NH 03301-3852 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
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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.