Healthcare Provider Details

I. General information

NPI: 1689137614
Provider Name (Legal Business Name): FREEDOM HOME AND DAY HEALTHCARE LIMITED LIABILITY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 E DUBLIN GRANVILLE RD STE 102
COLUMBUS OH
43229-3544
US

IV. Provider business mailing address

1925 E DUBLIN GRANVILLE RD STE 102
COLUMBUS OH
43229-3544
US

V. Phone/Fax

Practice location:
  • Phone: 614-505-8498
  • Fax: 614-845-5427
Mailing address:
  • Phone: 614-505-8498
  • Fax: 614-845-5427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEIGH MILTIMORE
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-505-8498