Organization Active NPI

Freedom in Home Care

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1922387752
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NV20111250975 Issued in NV
Legal business name
FREEDOM IN HOME CARE
Practice address
3110 Polaris Ave
Unit 26
Las Vegas, NV 89102-8318
Phone
(702) 433-1224
Fax
(702) 433-1227
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Ms. Sheena M Johnson
Title
Ceo
Phone
(702) 433-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NV20111250975 NV Primary

Addresses

Primary practice location

3110 Polaris Ave
Unit 26
Las Vegas, NV 89102-8318

Mailing address

3110 Polaris Ave
Unit 26
Las Vegas, NV 89102-8318
Phone (702) 433-1224

Other identifiers 3

IdentifierTypeStateIssuer
83MedicaidNV
30MedicaidNV
58MedicaidNV

National Provider Directory

National Provider Directory

Locations

3110 Polaris Ave
Ste 26
Las Vegas, NV 89102
Phone (702) 433-1224

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1922387752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 POLARIS AVE",
            "address_2": "UNIT 26",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028318",
            "telephone_number": "702-433-1224",
            "fax_number": "702-433-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 POLARIS AVE",
            "address_2": "UNIT 26",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028318",
            "telephone_number": "702-433-1224",
            "fax_number": "702-433-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-433-1224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "NV20111250975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.