Organization
FREEDOM CARE OF NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JOHN SMITH (LEAD, NATIONAL EXPANSION)
(617) 959-4115
Entity
Organization
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(505) 391-6400
(505) 460-8655
Mailing address
1979 MARCUS AVE STE C115, NEW HYDE PARK, NY 11042-1126
(617) 959-4115
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
09/02/2025
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