FREEMAN HOUSE, INC (NPI# 1336318179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336318179 |
| Entity Type | Organization |
| Organization Name | FREEMAN HOUSE, INC |
| Practice Address |
2909 E Virginia Beach Blvd Norfolk VA 23504 |
| Practice Telephone | 7576221603 |
| Practice Fax Number | 7576220758 |
| Mailing Telephone | 7576221603 |
| Mailing Fax Number | 7576220758 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | MS. KHALILAH M SHABAZZ (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7576221603 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREEMAN HOUSE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
2909 E VIRGINIA BEACH BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
| 1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
| 1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1659441814 | Norfolk Community Health Center Inc | Family Medicine | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2006-11-08 |
| 1881601094 | Community Personal Care Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1761 Church Street, Norfolk, VA 23504 | 2006-08-01 |
| Find all providers in zip 23504 | ||||
| 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 |
|---|---|---|---|---|
| 1760952592 | R&r Residential, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Sewells Point Rd, Norfolk, VA 23513 | 2018-12-05 |
| 1114427218 | Patrese Onai Brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3571 N Ingleside Dr, Norfolk, VA 23502-4246 | 2018-02-15 |
| 1104346238 | Aza LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 944 Pollard St, Norfolk, VA 23504-1932 | 2017-06-20 |
| 1528508264 | Family Extensions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 779 Lesner Ave, Norfolk, VA 23518-2503 | 2017-02-28 |
| 1164978656 | Camellia House LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8027 Camellia Rd, Norfolk, VA 23518-3416 | 2016-08-25 |
| 1154774008 | E D & Thomas Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2527 E Virginia Beach Blvd, Norfolk, VA 23504-3625 | 2016-07-15 |
| 1013394089 | Loving Grace House LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3642 Riverside Dr, Norfolk, VA 23502-4356 | 2015-04-29 |
| 1902203235 | Edifying Lives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 204 W 33rd St, Norfolk, VA 23504-1408 | 2014-12-02 |
| 1063829380 | Anne's Group Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 722 Lexington St, Norfolk, VA 23504-2427 | 2014-07-18 |
| 1184037764 | Dailey Divine Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7929 Merritt St, Norfolk, VA 23518-3744 | 2014-06-11 |
| Find all providers in NORFOLK | ||||
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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.