Provider Demographics
NPI:1952788838
Name:FREEDOM IN-HOME CARE, LLC
Entity Type:Organization
Organization Name:FREEDOM IN-HOME CARE, LLC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-572-2128
Mailing Address - Street 1:6855 W CLEARWATER AVE
Mailing Address - Street 2:SUITE A105
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-5011
Mailing Address - Country:US
Mailing Address - Phone:509-572-2128
Mailing Address - Fax:509-572-2146
Practice Address - Street 1:6855 W CLEARWATER AVE
Practice Address - Street 2:SUITE A105
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-5011
Practice Address - Country:US
Practice Address - Phone:509-572-2128
Practice Address - Fax:509-572-2146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health