Provider Demographics
NPI:1861201386
Name:FREEDOM HOMECARE OF TENNESSEE
Entity type:Organization
Organization Name:FREEDOM HOMECARE OF TENNESSEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKEDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILHOITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-593-8105
Mailing Address - Street 1:340 KILDEER DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-2790
Mailing Address - Country:US
Mailing Address - Phone:615-593-8105
Mailing Address - Fax:
Practice Address - Street 1:425 S WATER AVE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3310
Practice Address - Country:US
Practice Address - Phone:615-593-8105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health