Provider Demographics
NPI:1295551570
Name:FREEDOM GUARD HOME SAFETY LLC
Entity type:Organization
Organization Name:FREEDOM GUARD HOME SAFETY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-530-4038
Mailing Address - Street 1:3612 RED FIR ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-2864
Mailing Address - Country:US
Mailing Address - Phone:702-530-4038
Mailing Address - Fax:702-602-7578
Practice Address - Street 1:3612 RED FIR ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-2864
Practice Address - Country:US
Practice Address - Phone:702-530-4038
Practice Address - Fax:702-602-7578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies