MEDICARE: FREEDOM HOME CARE AGENCY 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1457189763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	216 ENTERPRISE ST
Second Line	:
City	:	JOHNSTOWN
State	:	PA
Zip	:	15906-2227
Country	:	US
Telephone Number	:	267-266-9659
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 VALLEY PIKE STE 3
Second Line	:
City	:	JOHNSTOWN
State	:	PA
Zip	:	15905-4140
Country	:	US
Telephone Number	:	267-266-9659
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAUHEEDA A MIDGETT
Credential	:	AUTHORIZED OFFICAL
Telephone Number	:	267-266-9659

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	07/26/2024

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