Freedom at Home Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FREEDOM AT HOME HOMECARE LLC

Practice address

6410 A Rising Sun Ave
Philadelphia, PA 19111-5229

Phone

(215) 876-0083

Fax

(215) 278-4272

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Nicolle Wendt-Lisiy

Title

Owner

Phone

(215) 876-0083

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1659816668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DOLTON ROAD",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536457",
            "telephone_number": "215-876-0083",
            "fax_number": "215-278-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 A RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115229",
            "telephone_number": "215-876-0083",
            "fax_number": "215-278-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM AT HOME HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "WENDT-LISIY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NICOLLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-876-0083",
        "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": "103273120",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Freedman, MD
• Madeleine Freedman
• Steven James Freedman, M.D./PH.D.
• Vicki Freedman
• Freedom Anesthesia Associates, LLC
• Freedom Dental Care PA PLLC
• Freedom Dental Care PA PLLC
• Freedom Dental Care PA PLLC
• Freedom Dental Care PA PLLC
• Freedom Home Health Care Agency Inc

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.