Organization Active NPI

Freedom Care LLC

  • Home Health Agency
  • New Hyde Park, NY
National Provider Identifier
1922467554
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FREEDOM CARE LLC
Practice address
1979 Marcus Ave., Suite C115
New Hyde Park, NY 11042-1001
Phone
(718) 989-9710
Fax
(718) 989-3724
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Benjamin Wolf
Title
GC & Cco
Phone
(718) 989-9710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X NY Primary

Addresses

Primary practice location

1979 Marcus Ave., Suite C115
New Hyde Park, NY 11042-1001

Mailing address

1979 Marcus Ave., Suite C115
New Hyde Park, NY 11042-1001
Phone (718) 989-9710

Other identifiers 2

IdentifierTypeStateIssuer
04267378MedicaidNY
A4JJOtherNYETIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1922467554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE., SUITE C115",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421001",
            "telephone_number": "718-989-9710",
            "fax_number": "718-989-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE., SUITE C115",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421001",
            "telephone_number": "718-989-9710",
            "fax_number": "718-989-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GC & CCO",
        "authorized_official_telephone_number": "718-989-9710"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04267378",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ETIN",
            "identifier": "A4JJ",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.