AVEANNA HEALTHCARE
NPI 1477953602
Home Health in Mount Laurel, NJ

Active since August 25, 2014CLIA 31D2070754 · Waiver
303 FELLOWSHIP RD, SUITE 203, MOUNT LAUREL, NJ 08054(856) 780-1090(856) 234-5753 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2018, Oct 24, 2018, Sep 18, 2018 (3 updates tracked since 2018).

About Aveanna Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVEANNA HEALTHCARE (NPI 1477953602) is a healthcare organization registered as a home health in Mount Laurel, New Jersey and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Vicki Whiteside, Director - Regulatory Licensing, as its authorized official.

NPPES Registry Identity

NPI1477953602
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFREEDOM HOME HEALTHCARE, INC.
Location Address303 FELLOWSHIP RD, SUITE 203Mount Laurel, NJ 08054-1212
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (770) 248-8740 · Fax (770) 248-8192
Fax(856) 234-5753
Organization SubpartNo
Authorized OfficialVicki WhitesideDirector - Regulatory Licensing · (770) 248-8740
Enumeration DateAugust 25, 2014
Last NPPES UpdateDecember 10, 20183 updates tracked since enumeration
NPI 1477953602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
303 FELLOWSHIP RD, Mount Laurel, NJ 08054

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

OtherHP0169300NJ · State License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2070754

Epic Health Services Dba Aveanna Healthcare · Mount Laurel, NJ
Active · expires Dec 22, 2027
CLIA Number31D2070754
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorAizel J. Campbell
Laboratory Phone(856) 780-1090
Laboratory LocationEpic Health Services Dba Aveanna Healthcare303 Fellowship Road Suite 101, Mount Laurel, NJ 08054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
303 FELLOWSHIP RD
MOUNT LAUREL, NJ 08054
Ophthalmology
303 FELLOWSHIP RD, SUITE 100
MOUNT LAUREL, NJ 08054
Behavior Analyst
303 FELLOWSHIP RD, SUITE 203
MOUNT LAUREL, NJ 08054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freedom Home Healthcare, Inc.'s NPI number?

The NPI number for Freedom Home Healthcare, Inc. is 1477953602. It was assigned to this organization in the NPPES registry on August 25, 2014. The provider is doing business as Aveanna Healthcare.

Where is Freedom Home Healthcare, Inc. located?

Freedom Home Healthcare, Inc. is located at 303 Fellowship Rd Suite 203, Mount Laurel, NJ 08054. The listed phone number is (856) 780-1090.

What is Freedom Home Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Freedom Home Healthcare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2070754) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Freedom Home Healthcare, Inc. was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.