Freedom House Recovery Center, Inc. | |
355 S Madison Blvd Ste C1 Roxboro NC 27573-5485 | |
(336) 599-8366 | |
(336) 322-6168 |
Full Name | Freedom House Recovery Center, Inc. |
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Speciality | Community/Behavioral Health |
Location | 355 S Madison Blvd, Roxboro, North Carolina |
Authorized Official Name and Position | Joyce Harper (CEO) |
Authorized Official Contact | 9199422803 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Freedom House Recovery Center, Inc. 104 New Stateside Dr Chapel Hill NC 27516-1165 Ph: (919) 942-2803 | Freedom House Recovery Center, Inc. 355 S Madison Blvd Ste C1 Roxboro NC 27573-5485 Ph: (336) 599-8366 |
NPI Number | 1093986523 |
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Provider Enumeration Date | 03/12/2008 |
Last Update Date | 04/22/2022 |
Medicare PECOS PAC ID | 5193898229 |
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Medicare Enrollment ID | O20090619000344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093986523 | NPI | - | NPPES |
8302253V | Medicaid | NC | |
8302253H | Medicaid | NC | |
6006409 | Medicaid | NC | |
8302253G | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | James G Groce |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811090566 PECOS PAC ID: 7911001425 Enrollment ID: I20070322000224 |
Provider Name | Ronald Ray Alligood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407936800 PECOS PAC ID: 8921103854 Enrollment ID: I20090325000744 |
Provider Name | Timeka E Harper Purcell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497210082 PECOS PAC ID: 0446653893 Enrollment ID: I20210723000517 |
Provider Name | Charisse N Fullwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154085629 PECOS PAC ID: 9931593936 Enrollment ID: I20220308000163 |
Provider Name | Adam Oluwaseun Jenrola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235880709 PECOS PAC ID: 5092100404 Enrollment ID: I20220322002448 |
Provider Name | Brenda Mae Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437807427 PECOS PAC ID: 6800263773 Enrollment ID: I20221105000031 |
Provider Name | Grace Chelangat Korir |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952035248 PECOS PAC ID: 4486019007 Enrollment ID: I20230503001216 |
Provider Name | Nevaid Luke Nyagwande |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336892801 PECOS PAC ID: 9032577325 Enrollment ID: I20230619001115 |
Provider Name | Jerrell Lee Mitchell |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104280825 PECOS PAC ID: 8628341237 Enrollment ID: I20231219003807 |
Provider Name | Juliana Mutindi Mutua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689369464 PECOS PAC ID: 3173969060 Enrollment ID: I20240314000448 |
Provider Name | Christine Elizabeth Cauwels |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851762017 PECOS PAC ID: 4284167750 Enrollment ID: I20241023002260 |
Roxboro Medaccess Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3762 Durham Road, Roxboro, NC 27573 Phone: 336-330-0400 Fax: 336-330-0031 | |
Med First Immediate Care & Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 | |