Organization Active NPI

Freedom Plaza Operating Company LLC

Doing business as Freedom Plaza Care Center

  • Skilled Nursing Facility
  • Peoria, AZ
National Provider Identifier
1306357926
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FREEDOM PLAZA OPERATING COMPANY LLC
Doing business as
Freedom Plaza Care Center
Practice address
13714 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone
(623) 815-6106
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Cheryl Roskamp
Title
Ceo
Phone
(714) 612-4657

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Alzheimer Center (Dementia Center) 311500000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

13714 N Plaza del Rio Blvd
Peoria, AZ 85381

Mailing address

13714 N Plaza del Rio Blvd
Peoria, AZ 85381-4874

Other names 1

  • Freedom Plaza Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514000533 AZ Part A Provider - Skilled Nursing Facility 2466716790 Practice locations: Peoria, AZ

Skilled nursing facility certification: CCN 035256

Legal name
FREEDOM PLAZA OPERATING COMPANY LLC
Doing business as
FREEDOM PLAZA CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 15, 1999
Last certification
Apr 25, 2024
Beds
111
Ownership / control type
Limited Liability Corporation
Multi-facility organization
FREEDOM PROPERTIES HEMET, LLC
Organization structure
LLCProprietary
Enrollment address
13714 N Plaza del Rio Blvd
Peoria, AZ 85381-4874
Nursing home name
FREEDOM PLAZA CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Freedom Plaza Care CenterCCN 035256 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Dec 15, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11160.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1226 N Tamiami Trl
Ste 201
Sarasota, FL 34236

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Reifsteck Individual Managing Control - Governing BodySecretary Jan 1, 2025
Mary Cavanaugh-Marsh Individual Managing Control - Governing Body Jan 1, 2025
Irene H Kovala Individual Managing Control - Governing BodyChair Jan 1, 2025
Cornelius D Haskell Individual Managing Control - Governing BodyVice Chair Jan 1, 2025
Joseph E la Rue Individual Operational/Managerial Control Dec 20, 2024
Managing Control - Governing BodyPresident/Ceo Dec 20, 2024
Manoj Makhija Individual Operational/Managerial Control Apr 4, 2018
Adp of the SNF Apr 4, 2018
Greg William Gilstrap Individual Managing Control - Governing Body Jan 1, 2025
Lewis a Lancaster Individual Managing Control - Governing BodyTreasurer Jan 1, 2025
Gary D Marrer Individual Managing Control - Governing Body Jan 1, 2025
Sintra Hoffman Individual Managing Control - Governing Body Jan 1, 2025
Sharon House Orlopp Individual Managing Control - Governing Body Jan 1, 2025
FMC Arizona, LLC Organization, San Juan Capistrano, CA LLC, Management services company, For-profit Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 10, 2025
Herman L Orcutt Individual Managing Control - Governing Body Jan 1, 2025
Rey Rivera Individual Managing Control - Governing Body Jan 1, 2025
Cheryl L Roskamp Individual Operational/Managerial Control Apr 4, 2018
Adp of the SNF Apr 4, 2018
Gerald S Solomon Individual Managing Control - Governing Body Jan 1, 2025
Sun Health Freedom Plaza, LLC Organization, Surprise, AZ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 20, 2024 100%
Adp of the SNF Dec 20, 2025
Organization, Milwaukee, WI For-profit Adp of the SNF Apr 11, 2025
Jai Larman Individual Operational/Managerial Control Apr 4, 2018
Adp of the SNF Apr 4, 2018
Sun Health Services Organization, Surprise, AZ Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 4, 2018 100%
Ian Lewis Individual Operational/Managerial Control May 29, 2022
Adp of the SNF May 29, 2022
Organization, Irvine, CA For-profit Adp of the SNF Apr 10, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1306357926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13714 N PLAZA DEL RIO BLVD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13714 N PLAZA DEL RIO BLVD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-815-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PLAZA OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ROSKAMP",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-612-4657"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Plaza Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.