Provider Demographics
NPI:1508262262
Name:FREEDOM EXPANSION HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:FREEDOM EXPANSION HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKITRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-256-2273
Mailing Address - Street 1:5006 TROUBLE CREEK RD
Mailing Address - Street 2:104
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4922
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5006 TROUBLE CREEK RD
Practice Address - Street 2:104
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4922
Practice Address - Country:US
Practice Address - Phone:844-256-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health