Organization Active NPI

Freedom Elite Home Care LLC

  • Home Health Agency
  • Stone Mountain, GA
National Provider Identifier
1144037086
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FREEDOM ELITE HOME CARE LLC
Practice address
4896 Fieldgreen Dr
Stone Mountain, GA 30088-3533
Phone
(678) 254-8790
Fax
(229) 218-1066
NPI assigned
Dec 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Miss Asia Dionne JenkinsNPI 1932084571
Title
Owner
Phone
(678) 254-8790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4896 Fieldgreen Dr
Stone Mountain, GA 30088-3533

Mailing address

4896 Fieldgreen Dr
Stone Mountain, GA 30088-3533
Phone (678) 254-8790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1144037086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4896 FIELDGREEN DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883533",
            "telephone_number": "678-254-8790",
            "fax_number": "229-218-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4896 FIELDGREEN DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883533",
            "telephone_number": "678-254-8790",
            "fax_number": "229-218-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM ELITE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-254-8790",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.