Organization Active NPI

Freedom Healthcare Inc.

  • Home Health Agency
  • McAllen, TX
National Provider Identifier
1700909520
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011179 Issued in TX
Legal business name
FREEDOM HEALTHCARE INC.
Practice address
4401 N 22ND St
McAllen, TX 78504-4145
Phone
(956) 686-9948
Fax
(956) 686-9949
NPI assigned
Apr 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Melissa Lynn Vandorn, RN
Title
Administrator
Phone
(956) 686-9948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011179 TX Primary

Addresses

Primary practice location

4401 N 22ND St
McAllen, TX 78504-4145

Mailing address

5111 N 10TH St # 207
McAllen, TX 78504-2835
Phone (956) 686-9948

Other identifiers 1

IdentifierTypeStateIssuer
74-7029OtherTXMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070917000175 TX Part A Provider - Home Health Agency 3870687288 Practice locations: McAllen, TX

Home health agency certification: CCN 747029

Legal name
FREEDOM HEALTHCARE INC.
Doing business as
FREEDOM HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 25, 2008
Last certification
Sep 4, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 30, 2006 in TX
Enrollment address
4401 N 22ND St
McAllen, TX 78504-4145
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Freedom Healthcare IncCCN 747029
Ownership
Proprietary
Certified
Sep 25, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4401 N 22nd St
McAllen, TX 78504
Phone (956) 686-9948

4405 N 22nd St
McAllen, TX 78504
Phone (956) 686-9948

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carlos a. Rainha Individual 5% Or Greater Direct Ownership Interest May 14, 2007
Corporate Director May 14, 2007
W-2 Managing Employee May 14, 2007
Erica Perez Individual W-2 Managing EmployeeAlternate Administrator Jul 10, 2019
Operational/Managerial Control Jul 10, 2019 50%
Melissa Van Dorn Individual Corporate Director May 14, 2007
W-2 Managing Employee May 14, 2007

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1700909520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N 10TH ST # 207",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042835",
            "telephone_number": "956-686-9948",
            "fax_number": "956-686-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N 22ND ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044145",
            "telephone_number": "956-686-9948",
            "fax_number": "956-686-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2024-03-08",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "VANDORN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-686-9948",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "74-7029",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.