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TONYA CLARK FREEMAN
NPI 1275027294
Custodial Care Facility - Adult Care Home in Colerain, NC

Active since June 22, 2018
404 W RIVER ST, COLERAIN, NC 27924(252) 356-9954 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2024, Jun 22, 2018 (2 updates tracked since 2018).

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About TONYA CLARK FREEMAN

This page provides the complete NPI Profile along with additional information for Tonya Clark Freeman, a provider established in Colerain, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1275027294 assigned on June 2018. The practitioner's primary taxonomy code is 311ZA0620X with license number FCL008043 (NC). The provider is registered as an organization and their NPI record was last updated June 2026. The provider's . The authorized official of this NPI record is Tonya C Freeman (Owner/administrator)

NPI
1275027294 Verify this NPI
Provider Legal Name
TONYA CLARK FREEMAN
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
404 W RIVER ST COLERAIN, NC 27924
Location Phone
(252) 356-9954
Mailing Address
404 W RIVER ST COLERAIN, NC 27924
Mailing Phone
(252) 356-9954
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2018
Last Update Date
06-30-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
FCL008043
License State
NC
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONYA C FREEMAN

Authorized Official Title
OWNER/ADMINISTRATOR
Authorized Official Phone
(252) 642-2665

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FCL008043OTHER (01)NCDHHS FAMILY CARE HOME LICENSE

Reviews for TONYA CLARK FREEMAN

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Custodial Care Facility (Adult Care Home)
404 W RIVER ST
COLERAIN, NC 27924
Custodial Care Facility (Adult Care Home)
404 W RIVER ST
COLERAIN, NC 27924

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275027294, enumerated as an "organization" on June 22, 2018.

The provider is located at 404 W RIVER ST COLERAIN, NC 27924 and the phone number is (252) 356-9954.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.