1124229125 NPI number — FREEDOM HOSPICE

Table of content: (NPI 1124229125)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124229125 NPI number — FREEDOM HOSPICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FREEDOM HOSPICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124229125
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6666 S SHERIDAN RD
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
TULSA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74133-1756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-493-4930
Provider Business Mailing Address Fax Number:
918-346-6400

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6666 S SHERIDAN RD
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74133-1756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-493-4930
Provider Business Practice Location Address Fax Number:
918-346-6400
Provider Enumeration Date:
05/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DEJACIMO
Authorized Official First Name:
SHERRILL
Authorized Official Middle Name:
KAYE
Authorized Official Title or Position:
QUALITY ASSURANCE
Authorized Official Telephone Number:
918-493-4930

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  371657 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 371657 . This is a "PROVIDER NUMBER" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".




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