Provider Demographics
NPI:1164780680
Name:FREEDOM CONCEPTS USA, LLC
Entity Type:Organization
Organization Name:FREEDOM CONCEPTS USA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:VANSTRAELEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-661-9915
Mailing Address - Street 1:3651 LINDELL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-1254
Mailing Address - Country:US
Mailing Address - Phone:800-661-9915
Mailing Address - Fax:
Practice Address - Street 1:FREEDOM CONCEPTS INC.
Practice Address - Street 2:2087 PLESSIS ROAD
Practice Address - City:WINNIPEG
Practice Address - State:MANITOBA
Practice Address - Zip Code:R2M1T1
Practice Address - Country:CA
Practice Address - Phone:800-661-9915
Practice Address - Fax:204-654-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment