NPIMap

Organization Active NPI

Freedom Home Health and Hospice Care Services Inc.

  • Community Based Hospice Care Agency
  • Marysville, CA
National Provider Identifier
1043636293
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FREEDOM HOME HEALTH AND HOSPICE CARE SERVICES INC.
Practice address
519 D St Ste B
Marysville, CA 95901-5525
Phone
(530) 742-4800
Fax
(530) 742-4802
NPI assigned
Mar 12, 2014
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gurprit Singh Bains
Title
President/Administrator
Phone
(530) 742-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

519 D St Ste B
Marysville, CA 95901-5525

Mailing address

519 D St Ste B
Marysville, CA 95901-5525
Phone (530) 742-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140520000852 CA Part A Provider - Hospice 7810110897 1 other NPI on this enrollment
Practice locations: Marysville, CA
O20250811003371 CA Part B Supplier - Clinic/Group Practice 7810110897 Receives reassigned benefits from 3 practitioners
Practice locations: Marysville, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043636293. Details of each certification follow.

Hospice certification: CCN 751735

Legal name
FREEDOM HOME HEALTH AND HOSPICE CARE SERVICES INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 21, 2015
Last certification
Oct 21, 2015
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 20, 2014 in CA
Enrollment address
519 D St
Ste B
Marysville, CA 95901-5525

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Freedom Home Health and Hospice Care Services, IncCCN 751735 · All quality measures
Ownership
For-Profit
Certified
Oct 21, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

519 D St
Ste B
Marysville, CA 95901
Phone (530) 742-4800

825 9th St
#B1
Marysville, CA 95901
Phone (530) 742-4800

825 9th St
Ste B
Marysville, CA 95901
Phone (530) 645-7755

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lata Rani Individual W-2 Managing EmployeeDirector of Nursing Apr 5, 2021
Zahid I Shaikh Individual Contracted Managing EmployeeMD; Mar 15, 2026
Sukhwinder Sandhu Individual Contracted Managing EmployeeMedical Director Designee Jan 1, 2023
Gurprit S Bains Individual 5% Or Greater Direct Ownership Interest Sep 20, 2021 60%
Corporate OfficerPresident Dec 15, 2016 100%
W-2 Managing EmployeeAdministrator Dec 15, 2016 100%
Ramandeep Sandhu Individual 5% Or Greater Direct Ownership Interest Sep 20, 2021 40%
Harsharan Bains Individual W-2 Managing EmployeeAdministrator Jul 1, 2021
Jinhee Chang Individual W-2 Managing EmployeeAdministrator Designee Jul 1, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 27

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1043636293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 D ST STE B",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015525",
            "telephone_number": "530-742-4800",
            "fax_number": "530-742-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 D ST STE B",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015525",
            "telephone_number": "530-742-4800",
            "fax_number": "530-742-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOME HEALTH AND HOSPICE CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "BAINS",
        "authorized_official_first_name": "GURPRIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "530-742-4800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.