Organization Active NPI

Free Zone Home Care LLC

  • Home Health Aide
  • Charlotte, NC
National Provider Identifier
1548845118
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
FREE ZONE HOME CARE LLC
Practice address
1811 Sardis Rd N
Charlotte, NC 28270-1426
Phone
(610) 457-1366
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Israel Gebeyehu Gebreegziabhar
Title
Ceo
Phone
(610) 457-1366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1811 Sardis Rd N
Charlotte, NC 28270-1426

Mailing address

4207 Oconnell St
Indian Trail, NC 28079-6791
Phone (610) 457-1366

Other names 1

  • Free Zone Home Care LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Free Zone Home Care LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1548845118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 OCONNELL ST",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796791",
            "telephone_number": "610-457-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SARDIS RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701426",
            "telephone_number": "610-457-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE ZONE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "GEBREEGZIABHAR",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "GEBEYEHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-457-1366"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free Zone Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.