Active NPI
Freedomcare Indiana LLC
- In Home Supportive Care Agency
- Indianapolis, IN
National Provider Identifier
1780384198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FREEDOMCARE INDIANA LLC
- Doing business as
- Freedom Care
- Practice address
- 9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817 - Phone
- (463) 223-4110
- NPI assigned
- Mar 6, 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
9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Mailing address
1979 Marcus Ave
New Hyde Park, NY 11042-1076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300058911 | Medicaid | IN |
Other names 1
- Freedom Care
National Provider Directory
National Provider DirectoryLocations
1979 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 313-9949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1780384198",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9465 COUNSELORS ROW STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462403817",
"telephone_number": "463-223-4110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOMCARE INDIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300058911",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Freedom Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.