Healthcare Provider Details

I. General information

NPI: 1154983898
Provider Name (Legal Business Name): FREEDOM DAY HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 N BUCKMAN ST STE 2
SHEPHERDSVILLE KY
40165-5901
US

IV. Provider business mailing address

195 N BUCKMAN ST STE 2
SHEPHERDSVILLE KY
40165-5901
US

V. Phone/Fax

Practice location:
  • Phone: 502-215-6026
  • Fax: 502-708-2547
Mailing address:
  • Phone: 502-215-6026
  • Fax: 502-708-2547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NACHIKET BHATT
Title or Position: OWNER
Credential:
Phone: 502-244-9859