Organization Active NPI

Freedom Management Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
National Provider Identifier
1174593834
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREEDOM MANAGEMENT GROUP, LLC
Practice address
1845 W Reno Ave # B
Oklahoma City, OK 73106-3217
Phone
(405) 228-0911
Fax
(405) 228-0942
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Mrs. Amy Lyn Hoover
Title
Owner
Phone
(405) 228-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1845 W Reno Ave # B
Oklahoma City, OK 73106-3217

Mailing address

1845 W Reno Ave # B
Oklahoma City, OK 73106-3217
Phone (405) 228-0911

Other identifiers 1

IdentifierTypeStateIssuer
200072370AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1845 W Reno Ave
Ste B
Oklahoma City, OK 73106
Phone (405) 228-0911

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1174593834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W RENO AVE # B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731063217",
            "telephone_number": "405-228-0911",
            "fax_number": "405-228-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W RENO AVE # B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731063217",
            "telephone_number": "405-228-0911",
            "fax_number": "405-228-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "AMY LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-228-0911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200072370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.