Freedom Care Ri LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FREEDOM CARE RI LLC

Doing business as

Freedom Care
FreedomCare

Practice address

10 Dorrance St Ste 700
Providence, RI 02903-2014

Phone

(718) 570-6124

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Kenneth John Smith, MSM

Title

Lead, National Expansion

Phone

(718) 640-6614

Specialties & licenses 2

Addresses

Other names 2

• Freedom Care Doing business as
• FreedomCare Doing business as

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1467124891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE STE C115",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421126",
            "telephone_number": "480-330-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST STE 700",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032014",
            "telephone_number": "718-570-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CARE RI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LEAD, NATIONAL EXPANSION",
        "authorized_official_telephone_number": "718-640-6614",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FreedomCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Nicole Fredericks, LICSW, PMH-C
• Kathryn Emily Fredette, PMHNP
• Meghan Elizabeth Fredette, MD
• Alyssa Danielle Freedman, PSY.D.
• Phyllis C Freedman, RD
• Katherine R Freedy, MD
• Trisha Sue Freel, MS, CGC
• Alyssa Lee Freeman, M.A.
• Jennifer Beth Freeman, PHD
• Lucy W Freeman, RN

• In Home Supportive Care Agency in Providence, RI
• Providers in Providence, RI by specialty
• In Home Supportive Care Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.