Provider Demographics
NPI:1699949743
Name:FREEDOM HOME CARE, LLC
Entity type:Organization
Organization Name:FREEDOM HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:412-721-0648
Mailing Address - Street 1:112 BUTTERNUT CT
Mailing Address - Street 2:
Mailing Address - City:EIGHTY FOUR
Mailing Address - State:PA
Mailing Address - Zip Code:15330-8631
Mailing Address - Country:US
Mailing Address - Phone:412-721-0648
Mailing Address - Fax:
Practice Address - Street 1:112 BUTTERNUT CT
Practice Address - Street 2:
Practice Address - City:EIGHTY FOUR
Practice Address - State:PA
Practice Address - Zip Code:15330-8631
Practice Address - Country:US
Practice Address - Phone:412-721-0648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-19
Last Update Date:2008-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health