Organization Active NPI

Freedom Providers LLC

  • Home Health Agency
  • Carleton, MI
National Provider Identifier
1508213174
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FREEDOM PROVIDERS LLC
Practice address
3722 McIntosh LN
Carleton, MI 48117-9455
Phone
(734) 353-2047
Fax
(734) 795-6399
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Mrs. Trisha Ann WonsowiczNPI 1851747331
Title
Owner
Phone
(734) 353-2047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3722 McIntosh LN
Carleton, MI 48117-9455

Mailing address

3722 McIntosh LN
Carleton, MI 48117-9455
Phone (734) 353-2047

Other identifiers 1

IdentifierTypeStateIssuer
7945811MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1508213174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 MCINTOSH LN",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179455",
            "telephone_number": "734-353-2047",
            "fax_number": "734-795-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 MCINTOSH LN",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179455",
            "telephone_number": "734-353-2047",
            "fax_number": "734-795-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "WONSOWICZ",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-353-2047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7945811",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carleton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.