Provider Demographics
NPI:1134494933
Name:FREEDOM HOME HEALTH, LLC
Entity Type:Organization
Organization Name:FREEDOM HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-348-0827
Mailing Address - Street 1:150 N CENTER ST
Mailing Address - Street 2:209
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-1603
Mailing Address - Country:US
Mailing Address - Phone:775-348-0827
Mailing Address - Fax:775-284-0829
Practice Address - Street 1:150 N CENTER ST
Practice Address - Street 2:209
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-1603
Practice Address - Country:US
Practice Address - Phone:775-348-0827
Practice Address - Fax:775-284-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7451PCS-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health