MEDICARE: FREEDOM EXPANSION HOME CARE SERVICES, INC.

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	:	1508262262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM EXPANSION HOME CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	5006 TROUBLE CREEK RD
Second Line	:	104
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5006 TROUBLE CREEK RD
Second Line	:	104
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4922
Country	:	US
Telephone Number	:	844-256-2273
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID MCKITRICK
Credential	:
Telephone Number	:	844-256-2273

Provider Enumeration Date	:	11/07/2014
Last Update Date	:	11/14/2017

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