FREEDOM MINISTRIES CHURCH AND OUTREACH


Address: 539 Railway Place, Concord, NC 28025-0000
Phone: 7042316935

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Donna's Home Healthcare Former Legal Business Name - Organization

Office Location

Street Address 539 RAILWAY PLACE
City CONCORD
State NC
Zip Code 28025-0000

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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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City CONCORD
Zip Code 28025

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Dataset Information

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.

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