FREEDOM HOUSE RECOVERY CENTER, INC. (NPI# 1609047158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609047158 |
| Entity Type | Organization |
| Organization Name | FREEDOM HOUSE RECOVERY CENTER, INC. |
| Practice Address |
118 New Stateside Dr Chapel Hill NC 27516 |
| Mailing Address |
104 New Stateside Dr Chapel Hill NC 27516-1165 |
| Practice Telephone | 9199422803 |
| Mailing Telephone | 9199422803 |
| Mailing Fax Number | 9199422126 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | JEFFREY MATKINS (CEO) |
| Authorized Official Telephone | 3367258389 |
| Is Organization Subpart | Y |
| Parent Organization Name | INSIGHT HUMAN SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302366H | 05 | |
| NC | 8302366V | 05 | |
| NC | 6006407 | 05 | |
| NC | 8302366Q | 05 | |
| NC | 8302366G | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 New Stateside Dr, Chapel Hill, NC 275161165 | 9199422803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679919518 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 9 W Mason St, Franklinton, NC 27525-1335 | 2013-05-20 |
| 1881960193 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 106 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2012-03-30 |
| 1780950097 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 114 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2012-03-30 |
| 1982875241 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 288 East St, Ste 1004, Pittsboro, NC 27312 | 2008-03-14 |
| 1760525521 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 407 Salem St, Durham, NC 27703-4255 | 2007-02-14 |
| 1902959810 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 601 Carlton Ave, Durham, NC 27701-3421 | 2007-01-22 |
| 1427592823 | Freedom House Recovery Center, Inc. | Counselor | 414 E Main St, Durham, NC 27701-3720 | 2016-12-05 |
| 1467866236 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 101 Terrell Ln, Louisburg, NC 27549-9207 | 2014-06-19 |
| 1164836102 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 50 Stone Southerland Rd, Louisburg, NC 27549-6710 | 2014-06-18 |
| 1962816900 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 1753 Long Mill Rd, Youngsville, NC 27596-7469 | 2014-06-18 |
| Street Address |
118 NEW STATESIDE DR |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285677302 | Linda L. Hunter | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2006-06-14 |
| 1306481254 | Sara Colclough | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2019-11-14 |
| 1568922409 | Frances Jean Richardson | Registered Nurse | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2019-03-25 |
| 1003399775 | Haley Rognstad | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2018-09-10 |
| 1386153948 | Erich Freywald Priest | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2017-09-27 |
| 1285143719 | Nicole Michelle Beckerman | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2017-09-27 |
| 1174044754 | Anyelle Johanna De Leon | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2017-07-04 |
| 1063963940 | John Winston Smith Jr. | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2016-10-17 |
| 1295285054 | Traci Rogers Fuquay | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2016-10-05 |
| 1194199091 | Katelyn Octavia Pollet Chapman | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599309 | Brandon Ali Koroni | Dentist | 385 S Columbia St., Chapel Hill, NC 27516 | 2019-10-11 |
| 1225512718 | Brian Pietrosimone | Specialist/Technologist | University of North Carolina 209 Fetzer Hall, Chapel Hill, NC 27516 | 2018-09-20 |
| 1639691553 | Alexander S. Arab, Dba, Ims Evals, LLC | Physical Therapist | 103 Springhill Forest Place, Chapel Hill, NC 27516 | 2017-07-12 |
| 1730618000 | William E Sanders | Physical Therapist | 205 Weyer Dr., Chapel Hill, NC 27516 | 2017-06-08 |
| 1700336955 | Chatham Pediatric Dentistry | Dentist | 79 Falling Springs Dr., Suite 120, Chapel Hill, NC 27516 | 2016-10-12 |
| 1295152601 | Chun Xiang Li | Nurse Practitioner | 128 North Fields Circle, Chapel Hill, NC 27516 | 2014-03-24 |
| 1518211705 | Abigail Debra Zeveloff | Counselor | 1209b Hillsborough Rd, Chapel Hill, NC 27516 | 2012-11-09 |
| 1124315411 | Eric James Arehart | Pediatrics | 103 Crofton Springs Pl, Chapel Hill, NC 27516 | 2011-07-07 |
| 1336440312 | Amy Lynn Ford | Physician Assistant | 101 Manning Drive Cb #7160, Chapel Hill, NC 27516 | 2010-11-08 |
| 1689807224 | Natasha Leigh Blazer | Counselor | 110 New Stateside Dr, Chapel Hill, NC 27516 | 2009-08-31 |
| Find all providers in zip 27516 | ||||
| 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 |
|---|---|---|---|---|
| 1528432820 | Round Table Psychological and Educational Services | Community/Behavioral Health | 600 S Camellia St, Chapel Hill, NC 27516-6028 | 2015-11-24 |
| 1881960193 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 106 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2012-03-30 |
| 1780950097 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 114 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2012-03-30 |
| 1861677908 | University of North Carolina At Chapel Hill | Community/Behavioral Health | 209 Connor Dr, Unit 17, Chapel Hill, NC 27514 | 2008-01-08 |
| 1336324748 | University of North Carolina At Chapel Hill | Community/Behavioral Health | 209 Conner Dr, Unit 17, Chapel Hill, NC 27514-6104 | 2008-01-03 |
| 1992929731 | Empower Agency, LLC | Community/Behavioral Health | 121 S. Estes Dr, Ste 104, Chapel Hill, NC 27514-2868 | 2007-04-12 |
| 1457492266 | Youth Development Corporation of America | Community/Behavioral Health | 414 Caldwell Ext, Chapel Hill, NC 27516-2051 | 2007-02-12 |
| 1477690436 | Lutheran Family Services In The Carolinas | Community/Behavioral Health | 891 Willow Dr Ste 2, Chapel Hill, NC 27514-7077 | 2007-01-31 |
| 1386799955 | Residential Services, Inc. | Community/Behavioral Health | 111 Providence Rd, Chapel Hill, NC 27514-2229 | 2007-01-24 |
| 1780133223 | Open Space Therapy, Pllc | Community/Behavioral Health | 1829 E Franklin St, Suite 100-j, Chapel Hill, NC 27514-5861 | 2016-09-26 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27516 |
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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.