Provider Demographics
NPI:1083711527
Name:FREEDOM HOME HEALTH LLC
Entity Type:Organization
Organization Name:FREEDOM HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARPANZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-485-4663
Mailing Address - Street 1:951 HARMONY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-9601
Mailing Address - Country:US
Mailing Address - Phone:706-485-4663
Mailing Address - Fax:706-484-2348
Practice Address - Street 1:951 HARMONY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-9601
Practice Address - Country:US
Practice Address - Phone:706-485-4663
Practice Address - Fax:706-484-2348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA5787370001Medicare NSC