Active NPI
Freedom Healthcare Inc.
- Home Health Agency
- McAllen, TX
National Provider Identifier
1700909520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 011179
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74-7029 | Other | TX | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Aug 30, 2006 in TX
- Enrollment address
- 4401 N 22ND St
McAllen, TX 78504-4145
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Freedom Healthcare Inc
- Ownership
- Proprietary
- Certified
- Sep 25, 2008
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Carlos a. Rainha | 5% Or Greater Direct Ownership Interest | May 14, 2007 | |
| Corporate Director | May 14, 2007 | ||
| W-2 Managing Employee | May 14, 2007 | ||
| Erica Perez | W-2 Managing Employee | Jul 10, 2019 | |
| Operational/Managerial Control | Jul 10, 2019 | 50% | |
| Melissa Van Dorn | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.