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FREEDOM HEALTHCARE LLC NPI 1184057481


NPI Information

NPI: 1184057481
Provider Name: FREEDOM HEALTHCARE, LLC

Doing Business As: COMMUNITY WELLNESS CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1119 E MONUMENT ST
BALTIMORE, MD
ZIP 21202
Phone: (443) 705-5056
Get Directions

FREEDOM HEALTHCARE, LLC is a family medicine in Baltimore, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FREEDOM HEALTHCARE, LLC NPI is 1184057481. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Wellness Center.

The provider's business location address is:

1119 E MONUMENT ST
BALTIMORE, MD
ZIP 21202
Phone: (443) 705-5056

The provider's authorized official is Vernon Holmes .
The authorized official title is Ceo and has the following contact phone number (202) 320-0501.

The enumeration date for this NPI number is 8/10/2013 and was last updated on 1/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4207Q00000XFamily MedicineYes
5207R00000XInternal MedicineNo
6208D00000XGeneral PracticeNo
7261Q00000XClinic/CenterMARYLANDNo
8261QC1500XClinic/CenterCommunity HealthNo
9261QH0100XClinic/CenterHealth ServiceNo
10261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
11261QM0850XClinic/CenterAdult Mental HealthNo
12261QM1300XClinic/CenterMulti-SpecialtyNo
13261QP2300XClinic/CenterPrimary CareNo
14363L00000XNurse PractitionerNo
15251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.