FREEDOM MEDICAL SUPPLY LLC (NPI# 1699779322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699779322 |
| Entity Type | Organization |
| Organization Name | FREEDOM MEDICAL SUPPLY LLC |
| Practice Address |
2525 N Main St Decatur IL 62526-3227 |
| Practice Telephone | 2174222220 |
| Practice Fax Number | 2174222223 |
| Mailing Telephone | 2174222220 |
| Mailing Fax Number | 2174222223 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | MRS. CANDACE POE (OWNER/ MANAGER) |
| Authorized Official Telephone | 2174222220 |
| Authorized Official Credential | ATP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203000231 | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828739 | Freedom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 8868 S Eastern Ave, 115, Las Vegas, NV 89123-4823 | 2016-09-06 |
| 1235430349 | Freedom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2470 E. Pebble Rd, 115, Henderson, NV 89074-7092 | 2010-11-04 |
| Street Address |
2525 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720547532 | Unique Visions LLC | Durable Medical Equipment & Medical Supplies | 2948 Laguna Dr, Decatur, GA 30032-3526 | 2019-03-19 |
| 1164915427 | Premium Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681 | 2018-06-12 |
| 1396241535 | Gre Days Corp | Durable Medical Equipment & Medical Supplies | 3013 Rainbow Dr Ste 124, Decatur, GA 30034-1644 | 2018-04-05 |
| 1144733072 | Legacy Compounding Inc | Durable Medical Equipment & Medical Supplies | 2422 Danville Rd Sw Ste H, Decatur, AL 35603-4221 | 2017-11-14 |
| 1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
| 1689186199 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 484 Irvin Ct Ste 110, Decatur, GA 30030-5406 | 2017-10-25 |
| 1558887497 | Decatur Medical Supplies | Durable Medical Equipment & Medical Supplies | 2107 N Decatur Rd Unit 832, Decatur, GA 30033-5305 | 2017-08-22 |
| 1972027456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4855 Flat Shoals Pkwy, Decatur, GA 30034-5208 | 2017-07-27 |
| 1508304411 | Comfort Medical Supplies | Durable Medical Equipment & Medical Supplies | 5055 Miller Woods Dr, Decatur, GA 30035-3751 | 2017-02-10 |
| 1225493851 | Pain Rehab Equipment | Durable Medical Equipment & Medical Supplies | 220 Ponce De Leon Pl, 172, Decatur, GA 30030-3233 | 2015-12-26 |
| Find all providers in DECATUR | ||||
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| 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.