Freedom Resources, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FREEDOM RESOURCES, LLC

Doing business as

Interim HealthCare of Southern Illinois

Practice address

4503 W Deyoung St
Suite 202
Marion, IL 62959-0018

Phone

(618) 477-8500

Fax

(618) 477-8545

NPI assigned

Nov 21, 2016

Last updated

Feb 15, 2017By 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

Zach McGinn

Title

Owner/Agency Manager

Phone

(618) 477-8500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Interim HealthCare of Southern Illinois Doing business as

Locations

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1164965364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 W DEYOUNG ST",
            "address_2": "SUITE 202",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629590018",
            "telephone_number": "618-477-8500",
            "fax_number": "618-477-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 W DEYOUNG ST",
            "address_2": "SUITE 202",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629590018",
            "telephone_number": "618-477-8500",
            "fax_number": "618-477-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "MCGINN",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "OWNER/AGENCY MANAGER",
        "authorized_official_telephone_number": "618-477-8500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME NURSING LICENSE",
            "identifier": "4000537",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME SERVICES LICENSE",
            "identifier": "3001520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Southern Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicholas Frey
• Emily Frost, LMT

• Home Health Agency in Marion, IL
• Providers in Marion, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.