Healthcare Provider Details

I. General information

NPI: 1164780680
Provider Name (Legal Business Name): FREEDOM CONCEPTS USA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 05/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FREEDOM CONCEPTS INC. 2087 PLESSIS ROAD
WINNIPEG MANITOBA
R2M1T1
CA

IV. Provider business mailing address

3651 LINDELL RD SUITE D
LAS VEGAS NV
89103-1254
US

V. Phone/Fax

Practice location:
  • Phone: 800-661-9915
  • Fax: 204-654-1149
Mailing address:
  • Phone: 800-661-9915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. KEN M VANSTRAELEN
Title or Position: PRESIDENT
Credential:
Phone: 800-661-9915