Organization Active NPI

Freedom at Home, LLC

  • In Home Supportive Care Agency
  • Bethel Park, PA
National Provider Identifier
1497136279
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
27833601 Issued in PA
Legal business name
FREEDOM AT HOME, LLC
Practice address
1226 Stoltz Rd
Bethel Park, PA 15102-3782
Phone
(412) 835-4663
Fax
(412) 835-1233
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mrs. Marcia Renee Matthews, RN
Title
Administrator/Owner
Phone
(412) 835-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 27833601 PA Primary

Addresses

Primary practice location

1226 Stoltz Rd
Bethel Park, PA 15102-3782

Mailing address

1226 Stoltz Rd
Bethel Park, PA 15102-3782
Phone (412) 835-4663

National Provider Directory

National Provider Directory

Locations

1226 Stoltz Rd
Bethel Park, PA 15102
Phone (412) 835-4663

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1497136279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 STOLTZ RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151023782",
            "telephone_number": "412-835-4663",
            "fax_number": "412-835-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 STOLTZ RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151023782",
            "telephone_number": "412-835-4663",
            "fax_number": "412-835-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "412-835-4663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "27833601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.