Provider Demographics
NPI:1457189763
Name:FREEDOM HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:FREEDOM HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAUHEEDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIDGETT
Authorized Official - Suffix:
Authorized Official - Credentials:AUTHORIZED OFFICAL
Authorized Official - Phone:267-266-9659
Mailing Address - Street 1:216 ENTERPRISE ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15906-2227
Mailing Address - Country:US
Mailing Address - Phone:267-266-9659
Mailing Address - Fax:
Practice Address - Street 1:46 VALLEY PIKE STE 3
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4140
Practice Address - Country:US
Practice Address - Phone:267-266-9659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health