Provider Demographics
NPI:1619576311
Name:FREEDOM NOW HOME CARE-NC, LLC
Entity Type:Organization
Organization Name:FREEDOM NOW HOME CARE-NC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAHLENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:814-418-9286
Mailing Address - Street 1:9635 SOUTHERN PINE BLVD OFC PARK
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-5540
Mailing Address - Country:US
Mailing Address - Phone:980-221-1273
Mailing Address - Fax:
Practice Address - Street 1:9635 SOUTHERN PINE BLVD OFC PARK
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5540
Practice Address - Country:US
Practice Address - Phone:980-221-1273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty