Freedom Home Health and Hospice Care Services Inc.

Organization Active NPI Community Based Hospice Care Agency · Marysville, CA

NPI 1043636293 · NPPES record last updated Apr 16, 2020

Key facts

NPI
1043636293
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 1

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 27

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

View all 27

Medicare Care Compare: Hospice

Listed as
Freedom Home Health and Hospice Care Services, Inc CCN 751735
Ownership
For-Profit
Certified
Oct 21, 2015
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

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
Corporation · Proprietary
Incorporated
Feb 20, 2014 in CA
Enrollment address
519 D St
Ste B
Marysville, CA 95901-5525

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 Employee
Director of Nursing
Apr 5, 2021
Zahid I Shaikh
Individual
Contracted Managing Employee
MD;
Mar 15, 2026
Sukhwinder Sandhu
Individual
Contracted Managing Employee
Medical Director Designee
Jan 1, 2023
Gurprit S Bains
Individual
5% Or Greater Direct Ownership Interest Sep 20, 2021 60%
Corporate Officer
President
Dec 15, 2016 100%
W-2 Managing Employee
Administrator
Dec 15, 2016 100%
Ramandeep Sandhu
Individual
5% Or Greater Direct Ownership Interest Sep 20, 2021 40%
Harsharan Bains
Individual
W-2 Managing Employee
Administrator
Jul 1, 2021
Jinhee Chang
Individual
W-2 Managing Employee
Administrator Designee
Jul 1, 2021

Medicare enrollment records

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

National Provider Directory

Locations

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

Specialties & licenses

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

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

Other providers in Marysville, CA

All providers in Marysville, CA · Community Based Hospice Care Agency in California

Sources for this page

Verify at the official NPI Registry.