Freedom Co-Op

LBN: Freedom Co-Op
Freedom Co-Op is an health care organization with primary practice located at 1633 Madison Ave , Memphis TN 38104-2506. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Freedom Co-Op can be contacted via phone (901) 726-6404, or through Nunnikhoven, Tom via phone (901) 833-9744.

Contact Information

Primary practice address
1633 Madison Ave Memphis TN 38104-2506
Phone: (901) 726-6404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nunnikhoven, Tom
Phone: (901) 833-9744

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X L000000009711 Tennessee

Profile Details

NPI number 1598042962
LBN Legal business name Freedom Co-Op
DBA Doing business as
Authorized official Nunnikhoven, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2011
Last updated Nov 13th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598042962 NPPES
Tennessee MEDICAID G29

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