Active NPI
Free Zone Home Care LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1114691706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FREE ZONE HOME CARE LLC
- Practice address
- 3601 Central Ave
Charlotte, NC 28205-5637 - Phone
- (610) 457-1366
- NPI assigned
- Aug 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Israel Gebeyehu Gebreegziabhar
- Title
- Ceo
- Phone
- (610) 457-1366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3601 Central Ave
Charlotte, NC 28205-5637
Mailing address
4207 Oconnell St
Indian Trail, NC 28079-6791
Phone (610) 457-1366
Other names 1
- Free Zone Home Care LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | israel@freezonecare.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Free Zone Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Aide
- Charlotte, NC
- NPI 1548845118
Locations
3601 Central Ave
Charlotte, NC 28205
Phone (610) 457-1366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628208000000",
"number": "1114691706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 OCONNELL ST",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280796791",
"telephone_number": "610-457-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 CENTRAL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282055637",
"telephone_number": "610-457-1366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREE ZONE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A",
"authorized_official_last_name": "GEBREEGZIABHAR",
"authorized_official_first_name": "ISRAEL",
"authorized_official_middle_name": "GEBEYEHU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "610-457-1366",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "israel@freezonecare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "israel@freezonecare.com",
"address_1": "3601 Central Ave",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282055637",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Free Zone Home Care LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.