Organization Active NPI

Freedom Home Health Care, LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1255454542
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43115000MedicaidWI
100084123MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.