ANTWON TARIK FREEMAN NPI 1750997300

NPI Information

NPI: 1750997300
Provider Name: ANTWON TARIK FREEMAN
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
2129 SUMMERTIME DR APT 2609
CHARLOTTE, NC
ZIP 28262
Phone: (704) 615-2653
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Antwon Tarik Freeman is a home health aide in Charlotte, NC. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Antwon Tarik Freeman NPI is 1750997300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2129 SUMMERTIME DR APT 2609
CHARLOTTE, NC
ZIP 28262-626
Phone: (704) 615-2653

The enumeration date for this NPI number is 9/18/2020 and was last updated on 9/18/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	85-1686925	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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