FREEDOM HOUSE RECOVERY CENTER (NPI# 1477826790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477826790 |
| Entity Type | Organization |
| Organization Name | FREEDOM HOUSE RECOVERY CENTER |
| Practice Address |
205 Cousin Rd Rougemont NC 27572-6524 |
| Practice Telephone | 3365049659 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | MRS. TRISH HUSSEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9199678844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 101YA0400X COUNS | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326471822 | Freedom House Recovery Center | Community Based Residential Treatment Facility, Mental Illness | 309 Crutchfield Street, Durham Center Access, Durham, NC 27704 | 2013-08-20 |
| 1437423621 | Freedom House Recovery Center | Substance Abuse Rehabilitation Facility | 104 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2012-03-06 |
| 1720352453 | Freedom House Recovery Center | Community/Behavioral Health | 126 N Main St, Warrenton, NC 27589-1922 | 2012-02-27 |
| 1255614459 | Freedom House Recovery Center | Community/Behavioral Health | 519 Walker Ave, Norlina, NC 27563-9791 | 2011-09-23 |
| 1841344793 | Freedom House Recovery Center | Community/Behavioral Health | 3500 Westgate Dr, Suite 203, Durham, NC 27707-2567 | 2007-01-22 |
| 1851444244 | Freedom House Recovery Center | Clinic/Center | 104 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2007-01-19 |
| 1568515211 | Freedom House Recovery Center | Community/Behavioral Health | 104 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2007-01-18 |
| Street Address |
205 COUSIN RD |
| City | ROUGEMONT |
| State | NC |
| Zip Code | 27572-6524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437662 | Jason Roberts | Contractor | 10814 Wilkins Rd, Rougemont, NC 27572 | 2015-09-18 |
| 1477754646 | Ila Gertrude Harris | Nursing Home Administrator | 1017 Hwy 158, Rougemont, NC 27572 | 2007-05-29 |
| 1821230350 | Sarah M Taylor | Social Worker | 515 Fire Tower Dr, Rougemont, NC 27572-6816 | 2009-03-30 |
| 1972801801 | Brenda Stepanski-roberts | Physical Therapist | 66 Rhododendron Ln, Rougemont, NC 27572-6942 | 2011-03-01 |
| 1104902840 | Patricia L Hill | Nurse Anesthetist, Certified Registered | 916 Mann Oakley Rd, Rougemont, NC 27572-7139 | 2006-10-27 |
| 1366492340 | Laurie Ray | Physical Therapist | 6303 Stearman Rd, Rougemont, NC 27572-8017 | 2006-05-11 |
| 1508050188 | Harris Rest Home | Custodial Care Facility | 1017 Us Highway 158, Rougemont, NC 27572-8368 | 2007-08-28 |
| 1972670388 | Tanya Daniella Melton | Dietitian, Registered | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2006-11-29 |
| 1942544093 | Hashem Healthcare Services, Inc. | Registered Nurse | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437662 | Jason Roberts | Contractor | 10814 Wilkins Rd, Rougemont, NC 27572 | 2015-09-18 |
| 1972801801 | Brenda Stepanski-roberts | Physical Therapist | 66 Rhododendron Ln, Rougemont, NC 27572-6942 | 2011-03-01 |
| 1821230350 | Sarah M Taylor | Social Worker | 515 Fire Tower Dr, Rougemont, NC 27572-6816 | 2009-03-30 |
| 1508050188 | Harris Rest Home | Custodial Care Facility | 1017 Us Highway 158, Rougemont, NC 27572-8368 | 2007-08-28 |
| 1477754646 | Ila Gertrude Harris | Nursing Home Administrator | 1017 Hwy 158, Rougemont, NC 27572 | 2007-05-29 |
| 1972670388 | Tanya Daniella Melton | Dietitian, Registered | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2006-11-29 |
| 1104902840 | Patricia L Hill | Nurse Anesthetist, Certified Registered | 916 Mann Oakley Rd, Rougemont, NC 27572-7139 | 2006-10-27 |
| 1366492340 | Laurie Ray | Physical Therapist | 6303 Stearman Rd, Rougemont, NC 27572-8017 | 2006-05-11 |
| 1942544093 | Hashem Healthcare Services, Inc. | Registered Nurse | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2012-11-15 |
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
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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.