Organization Active NPI

Living Free Homecare Incorporated

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1285118984
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIVING FREE HOMECARE INCORPORATED
Practice address
1818 E Southern Ave Ste 20B
Mesa, AZ 85204-5257
Phone
(480) 442-9667
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
John Shoemaker, CSCM
Title
President
Phone
(602) 750-3698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1818 E Southern Ave Ste 20B
Mesa, AZ 85204-5257

Mailing address

550 W Baseline Rd Ste 102-206
Mesa, AZ 85210-6031
Phone (602) 750-3698

National Provider Directory

National Provider Directory

Locations

1818 E Southern Ave
Ste 20B
Mesa, AZ 85204
Phone (480) 442-9667

5135 E Ingram St
Ste 5
Mesa, AZ 85205

550 W Baseline Rd
Ste 102206
Mesa, AZ 85210

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1285118984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W BASELINE RD STE 102-206",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106031",
            "telephone_number": "602-750-3698",
            "fax_number": "480-499-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E SOUTHERN AVE STE 20B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045257",
            "telephone_number": "480-442-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FREE HOMECARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-750-3698",
        "authorized_official_credential": "CSCM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.