Provider Demographics
NPI:1811494214
Name:FREEDOM CAREER SERVICES LLC
Entity type:Organization
Organization Name:FREEDOM CAREER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-946-9239
Mailing Address - Street 1:5300 E CHERRY CREEK SOUTH DR APT 522
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2736
Mailing Address - Country:US
Mailing Address - Phone:303-946-9239
Mailing Address - Fax:
Practice Address - Street 1:5300 E CHERRY CREEK SOUTH DR APT 522
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:303-946-9239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO2017137883Medicaid