FREEDOM RESPIRATORY SOLUTIONS, LLC (NPI# 1023254216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023254216 |
| Entity Type | Organization |
| Organization Name | FREEDOM RESPIRATORY SOLUTIONS, LLC |
| Other Organization Name | PROVIDACARE MEDICAL SUPPLY |
| Practice Address |
601 Highway 10 E Detroit Lakes MN 56501-4127 |
| Mailing Address |
831 E 2nd St Duluth MN 55805-2103 |
| Practice Telephone | 2188442273 |
| Practice Fax Number | 2188442279 |
| Mailing Telephone | 5127336518 |
| Mailing Fax Number | 5127959185 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | MR. JAMES M SHANDORF (CEO) |
| Authorized Official Telephone | 2187275555 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDACARE MEDICAL SUPPLY, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| Providacare Medical Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467603829 | Freedom Respiratory Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2721 Clearwater Rd, Unit 147, Saint Cloud, MN 56301-5952 | 2008-10-03 |
| 1538233978 | Freedom Respiratory Solutions, LLC | Durable Medical Equipment & Medical Supplies | 831 E 2nd St, Duluth, MN 55805-2103 | 2006-11-18 |
| Street Address |
601 HIGHWAY 10 E |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962951210 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 125 N Minnesota St, New Ulm, MN 56073-1729 | 2016-09-28 |
| 1346638913 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 30659 Pearl Dr, Unit 104, Saint Joseph, MN 56374-4661 | 2015-01-05 |
| 1124458021 | Sleep Supply of Faribault, LLC | Durable Medical Equipment & Medical Supplies | 309 Lakeland Dr Se, Suite 3, Willmar, MN 56201-3997 | 2013-11-14 |
| 1013347913 | Sleep Supply of Willmar, LLC | Durable Medical Equipment & Medical Supplies | 2100 19th Ave Sw Ste 2, Willmar, MN 56201-5287 | 2013-11-14 |
| 1285920561 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 8380 City Centre Dr Ste 170, Woodbury, MN 55125-5312 | 2011-06-24 |
| 1205129756 | Lake Superior Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 211 W Hwy 61, Grand Marais, MN 55604-1500 | 2011-05-17 |
| 1285965053 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 36 17th Ave Nw, Rochester, MN 55901-0327 | 2010-01-19 |
| 1760626790 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 500 Cenral Ave, Osseo, MN 55369-1129 | 2009-04-21 |
| 1780828806 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 9720 Humboldt Ave S, Bloomington, MN 55431-2623 | 2009-04-21 |
| 1851454227 | Rice Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 1020 E Bridge St, Redwood Falls, MN 56283-1806 | 2006-12-18 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on FREEDOM RESPIRATORY SOLUTIONS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.