Freedom Wound Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FREEDOM WOUND CARE LLC

Practice address

2965 S Jones Blvd Ste E4
Las Vegas, NV 89146-5606

Phone

(702) 910-1587

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Rodelson Yukee

Title

Managing Partner

Phone

(702) 910-1587

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1104591387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 WILLOW GLEN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475266",
            "telephone_number": "170-291-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 S JONES BLVD STE E4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465606",
            "telephone_number": "702-910-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 E Calvada Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485852",
            "country_code": "US",
            "telephone_number": "775-505-1214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "YUKEE",
        "authorized_official_first_name": "RODELSON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-910-1587"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Labs & Diagnostics LLC
• Freedom Medical Group, LLC
• Freedom Medical Supply LLC
• Freedom Medical Supply LLC
• Freedom Pharma LLC
• Freedom Wound Care LLC
• Brandon D Freel, D.O.
• Alice Freeland
• Freeman & Young PC
• Modest Freeman Jones

• All providers in Las Vegas, NV
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.