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
1	347C00000X	Private Vehicle
2	385H00000X	Respite Care
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1073323523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM HOME CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 142
Second Line	:
City	:	LACONIA
State	:	NH
Zip	:	03247-0142
Country	:	US
Telephone Number	:	603-738-1196
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 COUNTRY CLUB RD UNIT 503
Second Line	:
City	:	GILFORD
State	:	NH
Zip	:	03249-6977
Country	:	US
Telephone Number	:	603-513-8705
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS DIRECTOR
Name	:	MISS BETHANY ROYEA
Credential	:
Telephone Number	:	603-513-8705

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	01/08/2025

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