FREEDOM HEALTHCARE, LLC

Provider Demographics

• NPI: 1184057481
• Name: FREEDOM HEALTHCARE, LLC
• Entity type: Organization
• Organization Name: FREEDOM HEALTHCARE, LLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CEO
• Authorized Official - Prefix: MR
• Authorized Official - First Name: VERNON
• Authorized Official - Last Name: HOLMES
• Authorized Official - Suffix: JR
• Authorized Official - Credentials: MBA
• Authorized Official - Phone: 667-770-6320
• Mailing Address - Street 1: 3310 EASTERN AVE
• Mailing Address - City: BALTIMORE
• Mailing Address - State: MD
• Mailing Address - Zip Code: 21224-4108
• Mailing Address - Country: US
• Mailing Address - Phone: 667-770-6320
• Mailing Address - Fax: 667-770-6320
• Practice Address - Street 1: 1119 E MONUMENT ST
• Practice Address - City: BALTIMORE
• Practice Address - State: MD
• Practice Address - Zip Code: 21202
• Practice Address - Country: US
• Practice Address - Phone: 667-770-6320
• Practice Address - Fax: 667-770-6320
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2013-08-10
• Last Update Date: 2025-07-12

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	208D00000X	Allopathic & Osteopathic Physicians	General Practice		Group - Multi-Specialty
No	261QC1500X	Ambulatory Health Care Facilities	Clinic/Center	Community Health	Group - Multi-Specialty
No	261QH0100X	Ambulatory Health Care Facilities	Clinic/Center	Health Service	Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
Yes	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center	Primary Care	Group - Multi-Specialty
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)	Group - Multi-Specialty
No	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center	Adult Mental Health	Group - Multi-Specialty
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty	Group - Multi-Specialty