Healthcare Provider Details

I. General information

NPI: 1922981570
Provider Name (Legal Business Name): FREEDOMCARE OF MONTANA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 N 29TH ST STE 201
BILLINGS MT
59101-1926
US

IV. Provider business mailing address

1979 MARCUS AVE STE C115
NEW HYDE PARK NY
11042-1126
US

V. Phone/Fax

Practice location:
  • Phone: 406-992-0940
  • Fax: 409-389-4667
Mailing address:
  • Phone: 866-845-9978
  • Fax: 718-989-3734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH JOHN SMITH
Title or Position: LEADER, NATIONAL EXPANSION
Credential:
Phone: 617-959-4115