Provider Demographics
NPI:1871327734
Name:FREEDOM CARE MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:FREEDOM CARE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARSIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-698-8137
Mailing Address - Street 1:23 DANIEL RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-2561
Mailing Address - Country:US
Mailing Address - Phone:973-698-8137
Mailing Address - Fax:
Practice Address - Street 1:23 DANIEL RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2561
Practice Address - Country:US
Practice Address - Phone:973-698-8137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport