FREEDOM CO-OP
NPI 1598042962
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Memphis, TN

Active since November 13, 2011
1633 MADISON AVE, MEMPHIS, TN 38104(901) 726-6404 Get Directions Write a Review

NPPES record last updated: November 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Freedom Co-op NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEDOM CO-OP (NPI 1598042962) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Memphis, Tennessee and active in the NPI registry since November 2011. The organization lists Tom Nunnikhoven, Board Chair, as its authorized official.

NPPES Registry Identity

NPI1598042962
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFREEDOM CO-OP
Location Address1633 MADISON AVEMemphis, TN 38104-2506
Mailing Address1633 Madison AveMemphis, TN 38104-2506
Organization SubpartNo
Authorized OfficialTom NunnikhovenBoard Chair · (901) 833-9744
Enumeration DateNovember 13, 2011
NPI 1598042962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in TN · L000000009711
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1633 MADISON AVE, Memphis, TN 38104

Other Identifiers 1

MedicaidG29TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
1633 MADISON AVE
MEMPHIS, TN 38104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freedom Co-Op's NPI number?

The NPI number for Freedom Co-Op is 1598042962. It was assigned to this organization in the NPPES registry on November 13, 2011.

Where is Freedom Co-Op located?

Freedom Co-Op is located at 1633 Madison Ave, Memphis, TN 38104. The listed phone number is (901) 726-6404.

What is Freedom Co-Op's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Freedom Co-Op was last updated on November 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.