Organization Active NPI

Freedom Care of North Dakota LLC

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1184596108
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FREEDOM CARE OF NORTH DAKOTA LLC
Practice address
1531 32ND Ave S Ste 102
Fargo, ND 58103-5911
Phone
(701) 450-3530
Fax
(701) 670-1922
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mr. Kenneth John Smith
Title
Leader, National Expansion
Phone
(617) 959-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1531 32ND Ave S Ste 102
Fargo, ND 58103-5911

Mailing address

1531 32ND Ave S Ste 102
Fargo, ND 58103-5911
Phone (701) 450-3530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1184596108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 32ND AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035911",
            "telephone_number": "701-450-3530",
            "fax_number": "701-670-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 32ND AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035911",
            "telephone_number": "701-450-3530",
            "fax_number": "701-670-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CARE OF NORTH DAKOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LEADER, NATIONAL EXPANSION",
        "authorized_official_telephone_number": "617-959-4115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.