Organization Active NPI

Freedom Care of Tennessee LLC

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1598584948
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FREEDOM CARE OF TENNESSEE LLC
Practice address
1661 International Dr Ste 400
Memphis, TN 38120-1431
Phone
(615) 993-8500
Fax
(718) 873-2674
NPI assigned
Oct 3, 2024
Organization subpart
Yes
Parent organization
FREEDOM CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mr. Kenneth John Smith
Title
Lead, National Expansion
Phone
(617) 959-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1661 International Dr Ste 400
Memphis, TN 38120-1431

Mailing address

1979 Marcus Ave Ste C115
New Hyde Park, NY 11042-1126
Phone (617) 959-4115

National Provider Directory

National Provider Directory
Part of
Freedom Care LLC

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1598584948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE STE C115",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421126",
            "telephone_number": "617-959-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 INTERNATIONAL DR STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201431",
            "telephone_number": "615-993-8500",
            "fax_number": "718-873-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CARE OF TENNESSEE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEDOM CARE LLC",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LEAD, NATIONAL EXPANSION",
        "authorized_official_telephone_number": "617-959-4115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.