Provider Demographics
NPI:1073634911
Name:FREUDENTHAL HOME HEALTH, LLC
Entity Type:Organization
Organization Name:FREUDENTHAL HOME HEALTH, LLC
Other - Org Name:FREUDENTHAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FREUDENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-387-8881
Mailing Address - Street 1:3001 FREDERICK AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2972
Mailing Address - Country:US
Mailing Address - Phone:816-387-8881
Mailing Address - Fax:816-387-8792
Practice Address - Street 1:3001 FREDERICK AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2972
Practice Address - Country:US
Practice Address - Phone:816-387-8881
Practice Address - Fax:816-387-8792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO858-HH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health