MEDICARE: FREEPORT 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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1114888914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEPORT CARE LLC

Provider Business Mailing Address
First Line	:	900 KIWANIS DR
Second Line	:
City	:	FREEPORT
State	:	IL
Zip	:	61032-4580
Country	:	US
Telephone Number	:	815-235-6196
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 KIWANIS DR
Second Line	:
City	:	FREEPORT
State	:	IL
Zip	:	61032-4580
Country	:	US
Telephone Number	:	815-235-6196
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AARON LEVY
Credential	:
Telephone Number	:	561-676-3719

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	11/20/2025

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Directions to “FREEPORT CARE LLC ” Practice Location

Language	Start Address	Practice Location

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