Active NPI
Freedom Care LLC
- Home Health Agency
- New Hyde Park, NY
National Provider Identifier
1922467554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04267378 | Medicaid | NY | |
| A4JJ | Other | NY | ETIN |
National Provider Directory
National Provider DirectoryNPI 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.