Provider Demographics
NPI:1669275855
Name:FREEDOM HOME CARE LLC
Entity type:Organization
Organization Name:FREEDOM HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:DOE DOE ZARWULUGBO
Authorized Official - Last Name:LIBERITY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-865-8716
Mailing Address - Street 1:700 NE HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-8034
Mailing Address - Country:US
Mailing Address - Phone:515-865-8716
Mailing Address - Fax:
Practice Address - Street 1:700 NE HORIZON DR
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8034
Practice Address - Country:US
Practice Address - Phone:515-865-8716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care