Provider Demographics
NPI:1184596108
Name:FREEDOM CARE OF NORTH DAKOTA LLC
Entity type:Organization
Organization Name:FREEDOM CARE OF NORTH DAKOTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEADER, NATIONAL EXPANSION
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-959-4115
Mailing Address - Street 1:1531 32ND AVE S STE 102
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-5911
Mailing Address - Country:US
Mailing Address - Phone:701-450-3530
Mailing Address - Fax:701-670-1922
Practice Address - Street 1:1531 32ND AVE S STE 102
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-5911
Practice Address - Country:US
Practice Address - Phone:701-450-3530
Practice Address - Fax:701-670-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care