Organization Active NPI

Freedom Healthcare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Owensboro, KY
National Provider Identifier
1205827441
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREEDOM HEALTHCARE, LLC
Doing business as
Freedom Healthcare
Practice address
2641 Veach Rd
Owensboro, KY 42303-5579
Phone
(270) 852-5299
Fax
(270) 852-5290
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mr. David Lee Hickey
Title
Co-Owner
Phone
(270) 852-5299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2641 Veach Rd
Owensboro, KY 42303-5579

Mailing address

2641 Veach Rd
Owensboro, KY 42303-5579
Phone (270) 852-5299

Other identifiers 1

IdentifierTypeStateIssuer
90011370MedicaidKY

Other names 1

  • Freedom Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1205827441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423035579",
            "telephone_number": "270-852-5299",
            "fax_number": "270-852-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423035579",
            "telephone_number": "270-852-5299",
            "fax_number": "270-852-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "270-852-5299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90011370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.