Provider Demographics
NPI:1790150985
Name:LIVE FREE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:LIVE FREE HOME HEALTHCARE LLC
Other - Org Name:BRIGGS ACQUISITION NEW HAMPSHIRE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-281-4860
Mailing Address - Street 1:438 NH ROUTE 104
Mailing Address - Street 2:
Mailing Address - City:NEW HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03256-4224
Mailing Address - Country:US
Mailing Address - Phone:603-217-0149
Mailing Address - Fax:
Practice Address - Street 1:438 NH ROUTE 104
Practice Address - Street 2:
Practice Address - City:NEW HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03256-4224
Practice Address - Country:US
Practice Address - Phone:603-217-0149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04126251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3103364Medicaid