Freddy Gasomora
Individual provider Active NPI Homemaker · Bismarck, ND
NPI 1750257564 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1750257564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 1038 Madison LN
Bismarck, ND 58503-5016 - Phone
- (701) 989-8981
- NPI assigned
- Oct 17, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Eden Park Caring Homes LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
1038 Madison LN
Bismarck, ND 58503-5016
Mailing address
1038 Madison LN
Bismarck, ND 58503-5016
Phone (701) 989-8981
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.