Freeman Support Care Service Corp

LBN: Freeman Support Care Service Corp
Freeman Support Care Service Corp is an health care organization with primary practice located at 11424 N 53Rd St , Temple Terrace FL 33617-2216. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Developmental Disabilities, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / In Home Supportive Care is the primary health care specialty. Freeman Support Care Service Corp can be contacted via phone (813) 985-2104, or through Freeman, Jacole via phone (813) 917-4080.

Contact Information

Primary practice address
11424 N 53Rd St Temple Terrace FL 33617-2216
Phone: (813) 985-2104
Fax: (813) 985-2101
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Jacole
Phone: (813) 917-4080

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1952962821
LBN Legal business name Freeman Support Care Service Corp
DBA Doing business as
Authorized official Freeman, Jacole
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2019
Last updated Jun 21st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952962821 NPPES
Florida MEDICAID 003655600

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