Organization Active NPI

Freedom Home Care Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1104035732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FREEDOM HOME CARE INC.
Practice address
8560 Vineyard Ave
Suite # 105
Rancho Cucamonga, CA 91730-4349
Phone
(909) 484-0003
Fax
(909) 484-0026
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gloria O Mehlman, REGISTERED NURSE
Title
Administrator
Phone
(909) 484-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

8560 Vineyard Ave
Suite # 105
Rancho Cucamonga, CA 91730-4349

Mailing address

8560 Vineyard Ave
Suite # 105
Rancho Cucamonga, CA 91730-4349
Phone (909) 484-0003

National Provider Directory

National Provider Directory

Locations

8560 Vineyard Ave
Ste 105
Rancho Cucamonga, CA 91730
Phone (909) 484-0003

8560 Vineyard Ave
Ste 211
Rch Cucamonga, CA 91730
Phone (909) 484-0003

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104035732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 VINEYARD AVE",
            "address_2": "SUITE # 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304349",
            "telephone_number": "909-484-0003",
            "fax_number": "909-484-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 VINEYARD AVE",
            "address_2": "SUITE # 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304349",
            "telephone_number": "909-484-0003",
            "fax_number": "909-484-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHLMAN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-484-0003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.