Provider Demographics
NPI:1851076681
Name:FREEDOM ASHEVILLE, LLC
Entity Type:Organization
Organization Name:FREEDOM ASHEVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER / MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:COFFEY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:828-493-1440
Mailing Address - Street 1:1550 HENDERSONVILLE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3245
Mailing Address - Country:US
Mailing Address - Phone:828-274-4406
Mailing Address - Fax:
Practice Address - Street 1:1550 HENDERSONVILLE RD STE 206
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3245
Practice Address - Country:US
Practice Address - Phone:828-274-4406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care