FREEDOM CO-OP


Address: 1633 Madison Ave, Memphis, TN 38104-2506
Phone: 9017266404

FREEDOM CO-OP (NPI# 1598042962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598042962
Entity Type Organization
Organization Name FREEDOM CO-OP
Practice Address 1633 Madison Ave
Memphis
TN 38104-2506
Practice Telephone 9017266404
Enumeration Date 2011-11-13
Last Update Date 2011-11-13
Authorized Official Name MR. TOM NUNNIKHOVEN (BOARD CHAIR)
Authorized Official Telephone 9018339744
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities L000000009711 TN Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN G29 05

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Freedom Co-op, Inc. 3971 Knight Arnold Rd, Suite 1221, Memphis, TN 38118

Office Location

Street Address 1633 MADISON AVE
City MEMPHIS
State TN
Zip Code 38104-2506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396973186 Memphis Center for Independent Living In Home Supportive Care 1633 Madison Ave, Memphis, TN 38104-2506 2009-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821613571 Jasmine E Jackson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3165 Overton Crossing St, Memphis, TN 38127-6522 2020-06-09
1285294306 Kiarad Enterprises Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3994 Edenburg Dr, Memphis, TN 38127-4112 2019-06-20
1982130878 Bt&t Residential Healthcare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6126 Gray Oak Ave, Memphis, TN 38115-2710 2017-05-11
1528577962 Contemporary Community Solutions Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1661 International Place Dr Ste 400, Memphis, TN 38120-1431 2017-09-28
1316317407 Rha Health Services Tn, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5050 Poplar Ave, Suite 710, Memphis, TN 38157-0101 2015-10-01
1154519981 Resources for Human Development Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3634 Austin Peay Hwy, Suite 100, Memphis, TN 38128-3798 2007-10-05
1063530442 Evergreen Presbyterian Ministries of West Tn Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5154 Stage Rd, Suite 100, Memphis, TN 38134-3118 2007-03-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194332148 Talley Boarding Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2741 Smith Springs Rd, Nashville, TN 37217 2020-09-24
1780208116 Indya Daniels Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 262 Carriage House Dr, Jackson, TN 38305-2228 2020-06-01
1841830387 Charis Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8820 Trinity Rd Ste 101, Cordova, TN 38018-2735 2020-01-13
1447891171 Hamelmal S Admassie Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 880 Pin Oak Dr, Antioch, TN 37013-1532 2019-10-03
1467910992 Milestone Home Healthcare Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1037 Jefferson St Ste G, Nashville, TN 37208-2554 2019-03-04
1255897831 Salim Homes Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2714 Deerfield Dr, Nashville, TN 37208-1225 2019-02-19
1407324411 Abundant Care Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2805 Foster Ave Ste 206, Nashville, TN 37210-5341 2018-11-07
1558837104 Vicki Mckissick Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217-6306 2018-10-22
1699260273 Quality Support Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2201 Murfreesboro Pike Ste D202, Nashville, TN 37217-3556 2018-06-26
1962910414 Rochelle Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Southside Ct, Nashville, TN 37203-4762 2018-01-18
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Competitor

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City MEMPHIS
Zip Code 38104

Improve Information

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Dataset Information

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.

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