Provider Demographics
NPI:1528554854
Name:FREEDOM HOSPICE LLC
Entity Type:Organization
Organization Name:FREEDOM HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-985-7195
Mailing Address - Street 1:145 TOWER DR STE 4
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7836
Mailing Address - Country:US
Mailing Address - Phone:815-985-7195
Mailing Address - Fax:
Practice Address - Street 1:145 TOWER DR STE 4
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-7836
Practice Address - Country:US
Practice Address - Phone:815-985-7195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based