Freedom Home Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0120 Issued in UT

Legal business name

FREEDOM HOME MEDICAL LLC

Doing business as

Freedom Home Medical

Practice address

368 Gold Tip Dr
Orem, UT 84058-5165

Phone

(801) 898-0180

Fax

(801) 229-1675

NPI assigned

Jul 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Ives

Title

VP

Phone

(801) 898-0180

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Freedom Home Medical Doing business as

Locations

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144228081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 GOLD TIP DR",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585165",
            "telephone_number": "801-898-0180",
            "fax_number": "801-229-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 GOLD TIP DR",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585165",
            "telephone_number": "801-898-0180",
            "fax_number": "801-229-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "801-898-0180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "0120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4964865",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82774200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739565",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203137668001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larene Kim Smart Fraser
• Troy D Frazier, D.C.
• Geoffrey Frederic
• Tiffani Frederick
• Lauren Ashley Fredrickson
• Freedom Hospice LLC
• Alyssa Freeman
• Grace Rose Freeman
• Rebecca Freeman
• James Phillip Freestone, M.D.

• Durable Medical Equipment & Medical Supplies in Orem, UT
• Providers in Orem, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• 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.