Healthcare Provider Details

I. General information

NPI: 1073323523
Provider Name (Legal Business Name): FREEDOM HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 COUNTRY CLUB RD UNIT 503
GILFORD NH
03249-6977
US

IV. Provider business mailing address

PO BOX 142
LACONIA NH
03247-0142
US

V. Phone/Fax

Practice location:
  • Phone: 603-513-8705
  • Fax:
Mailing address:
  • Phone: 603-738-1196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS BETHANY ROYEA
Title or Position: OPERATIONS DIRECTOR
Credential:
Phone: 603-513-8705