Healthcare Provider Details

I. General information

NPI: 1558024992
Provider Name (Legal Business Name): FREEDOM CARE TX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 KATY FWY STE 910
HOUSTON TX
77079-2119
US

IV. Provider business mailing address

1979 MARCUS AVE STE C115
NEW HYDE PARK NY
11042-1126
US

V. Phone/Fax

Practice location:
  • Phone: 718-570-6124
  • Fax:
Mailing address:
  • Phone: 480-330-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. YOEL GABAY
Title or Position: CEO
Credential:
Phone: 718-989-9725