FREEDOM RECOVERY LLC (NPI# 1801337423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801337423 |
| Entity Type | Organization |
| Organization Name | FREEDOM RECOVERY LLC |
| Practice Address |
4998 W Broad St Ste 104 Columbus OH 43228-1647 |
| Mailing Address |
3021 Bethel Rd Ste 100 Columbus OH 43220-2286 |
| Practice Telephone | 6147548051 |
| Mailing Telephone | 6147548051 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | CHAD KELLY (CO-OWNER / PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6147678273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
4998 W BROAD ST STE 104 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618172 | Amanda Jo Blazer | Counselor | 4998 W Broad St Ste 104, Columbus, OH 43228-1647 | 2020-08-03 |
| 1346868379 | Charity B Osborn | Counselor | 4998 W Broad St Ste 104, Columbus, OH 43228-1647 | 2020-07-07 |
| 1457816324 | Christopher Jay Frech | Case Manager/Care Coordinator | 4998 W Broad St Ste 104, Columbus, OH 43228-1647 | 2019-02-05 |
| 1053885939 | Nicholas Shepherd | Counselor | 4998 W Broad St Ste 104, Columbus, OH 43228-1647 | 2019-01-14 |
| 1033610092 | Cecelia Moore | Counselor | 4998 W Broad St Ste 104, Columbus, OH 43228 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785751 | Linden Focus | Clinic/Center | 1570 Cleveland Ave Ste 2, Columbus, OH 43211-2755 | 2018-10-09 |
| 1477835296 | Talbott Recovery Campus | Clinic/Center | 1200 Brookstone Ctr, Columbus, GA 31904 | 2011-09-19 |
| 1316238728 | Dr Mauricelmlei Millere, Dd Bmh Cpc Cc, Counseling Services | Clinic/Center | 3007 Quinby Dr, Columbus, OH 43232-4757 | 2011-04-20 |
| 1013139229 | Pavillon International Outpatient Services | Clinic/Center | 801 W Mills St, Columbus, NC 28722-8494 | 2007-05-03 |
| 1730792524 | Five Points Recovery LLC | Clinic/Center | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-08-31 |
| 1659910685 | Teasia Tarver | Clinic/Center | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2019-12-20 |
| 1295379337 | Milestone Addiction Counseling LLC | Clinic/Center | 106 N Murray Hill Rd, Columbus, OH 43228-1524 | 2019-11-01 |
| 1699289637 | Eden Behavioral Health Residential Treatment Center | Clinic/Center | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2017-11-29 |
| 1225573090 | Ohio Addiction Recovery Center | Clinic/Center | 1151 S High St, Columbus, OH 43206-3434 | 2017-01-03 |
| 1043691504 | Ohio Addiction Recovery Center | Clinic/Center | 727 E Main St, Columbus, OH 43205-1760 | 2015-06-10 |
| Find all providers in COLUMBUS | ||||
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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.