Freedom Respiratory Solutions, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEDOM RESPIRATORY SOLUTIONS, LLC

Doing business as

ProvidaCare Medical Supply

Practice address

2721 Clearwater Rd
Unit 147
Saint Cloud, MN 56301-5952

Phone

(320) 257-7000

Fax

(320) 257-7001

NPI assigned

Oct 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ryan N Bennett

Title

Ceo

Phone

(512) 733-6518

Specialties & licenses 1

Addresses

Other names 1

• ProvidaCare Medical Supply Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Providacare Medical Supply LTD

  • Durable Medical Equipment & Medical Supplies
  • Marble Falls, TX
  • NPI 1033360490

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1467603829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "address_2": "SUITE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-733-6518",
            "fax_number": "512-795-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 CLEARWATER RD",
            "address_2": "UNIT 147",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015952",
            "telephone_number": "320-257-7000",
            "fax_number": "320-257-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RESPIRATORY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-733-6518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProvidaCare Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Marie Fransen, PT
• Lora Frantti
• Jody Mary Franz, PT
• Cheryce Franzen
• Ailee Marie Fratzke, LPN
• Chris Freeman, PHARM.D.
• Amanda Lynn Freihammer
• Fresenius Medical Care Centracare Dialysis, LLC (Fresenius Kidney Care St. Cloud)
• Erica J Frey
• Cynthia J Friedmann, PA-C

• Durable Medical Equipment & Medical Supplies in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.