Healthcare Provider Details

I. General information

NPI: 1740195197
Provider Name (Legal Business Name): FREEDOMCARE OF NEBRASKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11602 W CENTER RD STE 104
OMAHA NE
68144-4440
US

IV. Provider business mailing address

11602 W CENTER RD STE 104
OMAHA NE
68144-4440
US

V. Phone/Fax

Practice location:
  • Phone: 402-953-2540
  • Fax: 402-953-2374
Mailing address:
  • Phone: 402-953-2540
  • Fax: 402-953-2374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CAITLIN GRIFFIN
Title or Position: DIRECTOR, NATIONAL EXPANSION
Credential:
Phone: 315-304-5151