MR. TIM FREEMAN (NPI# 1336531003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336531003 |
| Entity Type | Individual |
| Full Name | MR. TIM FREEMAN |
| Practice Address |
3680 Duck Creek Rd Lost Creek WV 26385 |
| Mailing Address |
3680 Duck Creek Rd Lost Creek WV 26385-7482 |
| Practice Telephone | 9106704643 |
| Mailing Telephone | 9106704643 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
3680 DUCK CREEK RD |
| City | LOST CREEK |
| State | WV |
| Zip Code | 26385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780197244 | Kevin Wayne Frick | Counselor | 43 South Streetcar Way, Lost Creek, WV 26385 | 2017-11-07 |
| 1821246950 | Linda Rose Marnic | Psychologist | 107 South Street Car Way, Lost Creek, WV 26385 | 2008-09-03 |
| 1639384449 | Family Matters Psychological Services Pllc | Counselor | 107 S. Streetcar Way, Lost Creek, WV 26385 | 2007-05-14 |
| 1922197490 | Village Pharmacy Inc | Pharmacy | 36 Railroad St, Lost Creek, WV 26385 | 2006-10-12 |
| 1942295654 | Thomas Melvin Bell | Psychologist | 107 S Streetcar Way, Lost Creek, WV 26385 | 2005-09-19 |
| 1114277050 | Community Care of West Virginia, Inc. | Clinic/Center | 128 College Street, Lost Creek, WV 26385-0000 | 2012-09-19 |
| 1093944878 | Jennifer Rae Adams | Counselor | 107 Street Car Way, Lost Creek, WV 26385-0490 | 2009-07-14 |
| 1730259946 | Amy Wilson Strange | Psychologist | 107 South Streetcar Way, Lost Creek, WV 26385-0490 | 2006-11-08 |
| 1013128446 | Josie Ellen Bush | Counselor | 107 S. Streetcar Way, Lost Creek, WV 26385-0490 | 2007-05-25 |
| 1275134439 | Sherry Ann Cogis | Technician | 54 Feathers Hooves Dr, Lost Creek, WV 26385-6802 | 2020-11-04 |
| Find all providers in zip 26385 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821414319 | Wanda Lee | Custodial Care Facility | 303 Low Gap Rd, Princeton, WV 24740-2530 | 2014-03-09 |
| 1942416979 | Harris Community Care Inc | Custodial Care Facility | 709 W Burke St, Martinsburg, WV 25401-2709 | 2007-05-15 |
| City | LOST CREEK |
| Zip Code | 26385 |
Please comment or provide details below to improve the information on MR. TIM FREEMAN.
| 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.