Freedom Senior Share, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

750201 Issued in KY

Legal business name

FREEDOM SENIOR SHARE, LLC

Doing business as

Freedom Adult Day Healthcare

Practice address

4511 Bardstown Rd
Louisville, KY 40218-4001

Phone

(502) 243-7383

Fax

(800) 214-6418

NPI assigned

Aug 16, 2017

Last updated

Jan 28, 2022By 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

Nachiketa Bhatt, RN, MBBS

Title

Manager

Phone

(502) 243-7383

Specialties & licenses 3

Addresses

Other names 1

• Freedom Adult Day Healthcare Doing business as

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1346766805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 RIVER TRAIL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295203",
            "telephone_number": "502-243-7383",
            "fax_number": "800-214-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184001",
            "telephone_number": "502-243-7383",
            "fax_number": "800-214-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM SENIOR SHARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "NACHIKETA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-243-7383",
        "authorized_official_credential": "RN, MBBS"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750201",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Adult Day Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Thomas Frederiksen
• Cassandra Elaine Freed, APRN
• Joanna Freedlund, PHARMD
• Freedom Center, LLC
• Freedom Counseling Services, LLC
• Thomas Freels
• Barbara Lynn Freeman, M.D.
• Clarissa Jeanne Freeman, MS
• Daniel Freeman
• David Freeman, M.D.

• Adult Day Care Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Day Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.