Provider Demographics
NPI:1285473546
Name:FREEDOM SENIOR CARE, LLC
Entity type:Organization
Organization Name:FREEDOM SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:986-210-8501
Mailing Address - Street 1:2245 E 2610 S
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4700
Mailing Address - Country:US
Mailing Address - Phone:253-439-8747
Mailing Address - Fax:
Practice Address - Street 1:9169 W STATE ST
Practice Address - Street 2:SUITE 299
Practice Address - City:GARDEN CITY
Practice Address - State:ID
Practice Address - Zip Code:83714
Practice Address - Country:US
Practice Address - Phone:986-210-8501
Practice Address - Fax:986-400-6469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care