Freedom Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FREEDOM HOME HEALTHCARE, INC.

Doing business as

Aveanna Healthcare

Practice address

303 Fellowship Rd
Suite 203
Mount Laurel, NJ 08054-1212

Phone

(856) 780-1090

Fax

(856) 234-5753

NPI assigned

Aug 25, 2014

Last updated

Dec 10, 2018By 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

Vicki Whiteside

Title

Director - Regulatory Licensing

Phone

(770) 248-8740

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aveanna Healthcare Doing business as

Tax ID family

Aveanna Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Home Healthcare, Inc.

  dba Aveanna Healthcare

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1154768950
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corrie Redfearn, BCBA

  • Behavior Analyst
  • Mount Laurel, NJ
  • NPI 1396134110
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1477953602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "770-248-8740",
            "fax_number": "770-248-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FELLOWSHIP RD",
            "address_2": "SUITE 203",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541212",
            "telephone_number": "856-780-1090",
            "fax_number": "856-234-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "DIRECTOR - REGULATORY LICENSING",
        "authorized_official_telephone_number": "770-248-8740"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HP0169300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Forvour, BCBA
• Barbara Ellen Fox, PH.D.
• Paulette Fredericks, MSW, LCSW
• Jessica Freeborn
• Terry Freedman, NP
• Michael J. Friedman, D.O.
• Friends of Cyrus II
• Barbara Fulgentiz, M.A.
• Barbara Ann Fuoco-McCooley, MA, CCC-SLP
• Paul C Furtaw, PSY.D.

• Home Health Agency in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.