Provider Demographics
NPI:1760164966
Name:FREEDOM CARE OF CONNECTICUT LLC
Entity Type:Organization
Organization Name:FREEDOM CARE OF CONNECTICUT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GABAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-640-6614
Mailing Address - Street 1:1979 MARCUS AVE STE C115
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1126
Mailing Address - Country:US
Mailing Address - Phone:315-304-5151
Mailing Address - Fax:860-467-4613
Practice Address - Street 1:71 RAYMOND RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2211
Practice Address - Country:US
Practice Address - Phone:860-499-3855
Practice Address - Fax:860-467-4613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care