THE FREEDOM CENTER, LLC
NPI 1770060600
Substance Abuse Rehabilitation Facility in Gaithersburg, MD
NPI Status: Active since July 24, 2018
Contact Information
202 PERRY PKWY STE 5
GAITHERSBURG, MD
ZIP 20877
Phone: (240) 720-3103
Fax: (240) 306-1471
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 21D2297104
- CLIA Cert. Type: Other - SUBSTANCE ABUSE FACILITY
- CLIA Exp. Date: 01-09-2026
About THE FREEDOM CENTER, LLC
This page provides the complete NPI Profile along with additional information for The Freedom Center, Llc, a provider established in Gaithersburg, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1770060600 assigned on July 2018. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Samuel Kesaris (Owner)
- NPI
- 1770060600
- Provider Name
- THE FREEDOM CENTER, LLC
- Entity Type
- Organization
- Location Address
- 202 PERRY PKWY STE 5 GAITHERSBURG, MD 20877
- Location Phone
- (240) 720-3103
- Location Fax
- (240) 306-1471
- Mailing Address
- 202 PERRY PKWY STE 5 GAITHERSBURG, MD 20877
- Mailing Phone
- (240) 720-3103
- Mailing Fax
- (240) 306-1471
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-24-2018
- Last Update Date
- 03-22-2023
- Code Navigator
Location Map
Secondary Locations
- 3521 Buckeystown Pike
Buckeystown, MD 21717
(240) 720-3103
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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2297104
- Facility Type
- Other - SUBSTANCE ABUSE FACILITY
- Certificate Effective Date
- January 10, 2024
- Certificate Expiration Date
- January 09, 2026
- Laboratory Director
- MARK ILLUMINATI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Freedom Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 0 | 6 | 0 | 6 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 0 | 6 | 0 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 0 + 6 + 0 + 6 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1770060600 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356972103 | THE FREEDOM CENTER, LLC/ GROUP Organization | Clinic/Center (Multi-Specialty) | 202 PERRY PKWY STE 5 GAITHERSBURG, MD 20877 (240) 720-3103 |
| 1700414943 | THOMAS BLAINE KUSS LMSW Individual | Social Worker | 202 PERRY PKWY STE 5 GAITHERSBURG, MD 20877 (888) 530-5023 |
| 1043016231 | MELISSA CAFARELLI LMSW Individual | Social Worker | 202 PERRY PKWY STE 5 GAITHERSBURG, MD 20877 (888) 530-5023 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770060600, enumerated in the NPI registry as an "organization" on July 24, 2018
The provider is located at 202 Perry Pkwy Ste 5 Gaithersburg, Md 20877 and the phone number is (240) 720-3103
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 21D2297104 for a "other - substance abuse facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 24, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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