Organization Active NPI

Freedom Valley Services LLC

  • Home Health Agency
  • Peoria, AZ
National Provider Identifier
1033509096
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
06488 Issued in AZ
Legal business name
FREEDOM VALLEY SERVICES LLC
Practice address
7186 W Desert Mirage Dr
Peoria, AZ 85383-6679
Phone
(623) 688-8373
Fax
(623) 533-4259
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Farhana N Khan
Title
Director Adminstration
Phone
(623) 688-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 06488 AZ Primary

Addresses

Primary practice location

7186 W Desert Mirage Dr
Peoria, AZ 85383-6679

Mailing address

7186 W Desert Mirage Dr
Peoria, AZ 85383-6679
Phone (623) 688-8373

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1033509096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7186 W DESERT MIRAGE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836679",
            "telephone_number": "623-688-8373",
            "fax_number": "623-533-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7186 W DESERT MIRAGE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836679",
            "telephone_number": "623-688-8373",
            "fax_number": "623-533-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM VALLEY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARHANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR ADMINSTRATION",
        "authorized_official_telephone_number": "623-688-8373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "06488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.