Active NPI
Freedom in Home Care
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1922387752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- NV20111250975
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83 | Medicaid | NV | |
| 30 | Medicaid | NV | |
| 58 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
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.