Active NPI
Freedom Home Health Care, LLC
- In Home Supportive Care Agency
- Milwaukee, WI
National Provider Identifier
1255454542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FREEDOM HOME HEALTH CARE, LLC
- Practice address
- 4701 N 76TH St Ste 300
Milwaukee, WI 53218-4700 - Phone
- (414) 755-8570
- Fax
- (414) 431-0848
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nang V Thao
- Title
- Administrator
- Phone
- (414) 755-8570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4701 N 76TH St Ste 300
Milwaukee, WI 53218-4700
Mailing address
4701 N 76TH St Ste 300
Milwaukee, WI 53218-4700
Phone (414) 755-8570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43115000 | Medicaid | WI | |
| 100084123 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
4701 N 76th St
Ste 300
Milwaukee, WI 53218
Phone (414) 755-8570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1255454542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 N 76TH ST STE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184700",
"telephone_number": "414-755-8570",
"fax_number": "414-431-0848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N 76TH ST STE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184700",
"telephone_number": "414-755-8570",
"fax_number": "414-431-0848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM HOME HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "THAO",
"authorized_official_first_name": "NANG",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "414-755-8570",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43115000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100084123",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.