Provider Demographics
NPI:1386069847
Name:FREEDOM BYRD LLC DBA HOME HELPERS & DIRECTLINK OF HENDERSON
Entity type:Organization
Organization Name:FREEDOM BYRD LLC DBA HOME HELPERS & DIRECTLINK OF HENDERSON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERNARDITA
Authorized Official - Middle Name:KATANG
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-419-7134
Mailing Address - Street 1:472 PALEGOLD ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5401
Mailing Address - Country:US
Mailing Address - Phone:702-419-7134
Mailing Address - Fax:
Practice Address - Street 1:472 PALEGOLD ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5401
Practice Address - Country:US
Practice Address - Phone:702-419-7134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7449PCS-2253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care