Healthcare Provider Details

I. General information

NPI: 1518599414
Provider Name (Legal Business Name): FREEDOM HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2020
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1749 GREEN BAY RD
HIGHLAND PARK IL
60035-3262
US

IV. Provider business mailing address

1749 GREEN BAY RD
HIGHLAND PARK IL
60035-3262
US

V. Phone/Fax

Practice location:
  • Phone: 847-433-5788
  • Fax: 847-433-4044
Mailing address:
  • Phone: 847-433-5788
  • Fax: 847-433-4044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateNULL
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JENANNE TARA ROCK
Title or Position: AGENCY MANAGER
Credential:
Phone: 847-433-5788