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NPI Code Detail

MEDICARE: FREEDOM CARE NV LLC

MEDICARE: FREEDOM CARE NV 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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number : 1982225371
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREEDOM CARE NV LLC
Provider Business Mailing Address
First Line : 4245 S GRAND CANYON DR STE 226
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7162
Country : US
Telephone Number : 702-899-4339
Fax Number :
Provider Business Practice Location Address
First Line : 410 S RAMPART BLVD STE 390
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-5749
Country : US
Telephone Number : 702-899-4339
Fax Number :
Authorized Official
Title or Position : CEO
Name : YOEL GABAY
Credential :
Telephone Number : 718-989-9725
Provider Enumeration Date : 04/27/2020
Last Update Date : 12/29/2025

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Directions to “FREEDOM CARE NV LLC ” Practice Location

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