Provider Demographics
NPI:1972263366
Name:FREEDOM CARE OF NORTH CAROLINA
Entity Type:Organization
Organization Name:FREEDOM CARE OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
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:480-330-8855
Mailing Address - Fax:
Practice Address - Street 1:128 S TRYON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-5001
Practice Address - Country:US
Practice Address - Phone:704-755-3228
Practice Address - Fax:704-234-6784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care