Active NPI
Freedom Care of Oregon LLC
- In Home Supportive Care Agency
- Portland, OR
National Provider Identifier
1679340855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FREEDOM CARE OF OREGON LLC
- Practice address
- 555 SE MLK Jr Blvd Unit 105
Portland, OR 97214-2595 - Phone
- (503) 303-8667
- NPI assigned
- Dec 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yoel Gabay
- Title
- Ceo
- Phone
- (718) 640-6614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
555 SE MLK Jr Blvd Unit 105
Portland, OR 97214-2595
Mailing address
1979 Marcus Ave
New Hyde Park, NY 11042-1076
Phone (646) 224-7325
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1679340855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421076",
"telephone_number": "646-224-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SE MLK JR BLVD UNIT 105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142595",
"telephone_number": "503-303-8667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM CARE OF OREGON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "GABAY",
"authorized_official_first_name": "YOEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-640-6614"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.