MEDICARE: FREEDOM HOME CARE, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053825703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM HOME CARE, LLC.

Provider Business Mailing Address
First Line	:	7551 SHELBY ST FL 3
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-5980
Country	:	US
Telephone Number	:	317-744-9676
Fax Number	:	317-744-9824

Provider Business Practice Location Address
First Line	:	7551 SHELBY ST FL 3
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-5980
Country	:	US
Telephone Number	:	614-744-9676
Fax Number	:	317-744-9824

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VILAYPHONE THAWNGHMUNG
Credential	:
Telephone Number	:	614-327-7630

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	03/03/2026

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Directions to “FREEDOM HOME CARE, LLC. ” Practice Location

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