Freedom Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

371657 Issued in OK

Legal business name

FREEDOM HOSPICE

Practice address

6666 S Sheridan Rd
Suite 102
Tulsa, OK 74133-1756

Phone

(918) 493-4930

Fax

(918) 346-6400

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Sherrill Kaye Dejacimo

Title

Quality Assurance

Phone

(918) 493-4930

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Freedom Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Hospice, LLC

  • Community Based Hospice Care Agency
  • Tulsa, OK
  • NPI 1295819050
  NPD tax ID

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124229125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 S SHERIDAN RD",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331756",
            "telephone_number": "918-493-4930",
            "fax_number": "918-346-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 S SHERIDAN RD",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331756",
            "telephone_number": "918-493-4930",
            "fax_number": "918-346-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEJACIMO",
        "authorized_official_first_name": "SHERRILL",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "QUALITY ASSURANCE",
        "authorized_official_telephone_number": "918-493-4930"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "371657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "371657",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andre Fredieu, MD
• David Randal Free, O.D.
• Racheal Free
• Heather Nicole Freed
• Jerry Wayne Freed, D.O.
• Freedom Hospice, LLC
• Cameron Faye Freeland
• Sandra L Freeland
• Elizabeth Marie Freeman Bain, M.A.
• Amanda Renee Freeman

• Community Based Hospice Care Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• 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.