Provider Demographics
NPI:1154983898
Name:FREEDOM DAY HEALTHCARE, LLC
Entity type:Organization
Organization Name:FREEDOM DAY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NACHIKET
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-244-9859
Mailing Address - Street 1:195 N BUCKMAN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-5901
Mailing Address - Country:US
Mailing Address - Phone:502-215-6026
Mailing Address - Fax:502-708-2547
Practice Address - Street 1:195 N BUCKMAN ST STE 2
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-5901
Practice Address - Country:US
Practice Address - Phone:502-215-6026
Practice Address - Fax:502-708-2547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY750205OtherSTATE LICENSE CERTIFICATION