Healthcare Provider Details

I. General information

NPI: 1861201386
Provider Name (Legal Business Name): FREEDOM HOMECARE OF TENNESSEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S WATER AVE
GALLATIN TN
37066-3310
US

IV. Provider business mailing address

340 KILDEER DR
CLARKSVILLE TN
37040-2790
US

V. Phone/Fax

Practice location:
  • Phone: 615-593-8105
  • Fax:
Mailing address:
  • Phone: 615-593-8105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NAKEDA M WILHOITE
Title or Position: OWNER
Credential:
Phone: 615-593-8105