Healthcare Provider Details

I. General information

NPI: 1518562693
Provider Name (Legal Business Name): FREE SPIRIT HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 N 3RD ST STE 109
PHOENIX AZ
85004-1144
US

IV. Provider business mailing address

20700 NORTHRIDGE RD
CHATSWORTH CA
91311-1830
US

V. Phone/Fax

Practice location:
  • Phone: 818-317-9565
  • Fax:
Mailing address:
  • Phone: 818-317-9565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NARINDER KUMAR
Title or Position: CEO
Credential:
Phone: 818-317-9565