Healthcare Provider Details

I. General information

NPI: 1295819050
Provider Name (Legal Business Name): FREEDOM HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5110 S YALE AVE STE 430
TULSA OK
74135-7483
US

IV. Provider business mailing address

PO BOX 4060
MOORESVILLE NC
28117-4060
US

V. Phone/Fax

Practice location:
  • Phone: 918-493-4930
  • Fax: 918-346-6400
Mailing address:
  • Phone: 704-664-2876
  • Fax: 704-230-0946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number4208
License Number StateOK

VIII. Authorized Official

Name: JANET L. COMBS
Title or Position: VP OF LICENSURE
Credential:
Phone: 704-662-1761