Organization Active NPI

Freedom Care of Illinois LLC

Doing business as Freedom Care

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1063235125
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FREEDOM CARE OF ILLINOIS LLC
Doing business as
Freedom Care
Practice address
125 S Wacker Dr Ste 300
Chicago, IL 60606-4421
Phone
(312) 971-2400
NPI assigned
Nov 6, 2024
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Mr. Kenneth John Smith, MSM
Title
Lead, National Expansion
Phone
(617) 959-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

125 S Wacker Dr Ste 300
Chicago, IL 60606-4421

Mailing address

1979 Marcus Ave Ste C115
New Hyde Park, NY 11042-1126
Phone (617) 959-4115

Other names 1

  • Freedom Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1063235125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE STE C115",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421126",
            "telephone_number": "617-959-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S WACKER DR STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064421",
            "telephone_number": "312-971-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CARE OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LEAD, NATIONAL EXPANSION",
        "authorized_official_telephone_number": "617-959-4115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freedom Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.