Active NPI
Freedom Plaza Operating Company LLC
Doing business as Freedom Plaza Care Center
- Skilled Nursing Facility
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 15, 1999
- Medicare certification status
- Active
- Certified beds
- 111
National Provider Directory
National Provider DirectoryMember 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Reifsteck | Managing Control - Governing Body | Jan 1, 2025 | |
| Mary Cavanaugh-Marsh | Managing Control - Governing Body | Jan 1, 2025 | |
| Irene H Kovala | Managing Control - Governing Body | Jan 1, 2025 | |
| Cornelius D Haskell | Managing Control - Governing Body | Jan 1, 2025 | |
| Joseph E la Rue | Operational/Managerial Control | Dec 20, 2024 | |
| Managing Control - Governing Body | Dec 20, 2024 | ||
| Manoj Makhija | Operational/Managerial Control | Apr 4, 2018 | |
| Adp of the SNF | Apr 4, 2018 | ||
| Greg William Gilstrap | Managing Control - Governing Body | Jan 1, 2025 | |
| Lewis a Lancaster | Managing Control - Governing Body | Jan 1, 2025 | |
| Gary D Marrer | Managing Control - Governing Body | Jan 1, 2025 | |
| Sintra Hoffman | Managing Control - Governing Body | Jan 1, 2025 | |
| Sharon House Orlopp | Managing Control - Governing Body | Jan 1, 2025 | |
| FMC Arizona, LLC | Operational/Managerial Control | Apr 1, 2018 | |
| Adp of the SNF | Apr 10, 2025 | ||
| Herman L Orcutt | Managing Control - Governing Body | Jan 1, 2025 | |
| Rey Rivera | Managing Control - Governing Body | Jan 1, 2025 | |
| Cheryl L Roskamp | Operational/Managerial Control | Apr 4, 2018 | |
| Adp of the SNF | Apr 4, 2018 | ||
| Gerald S Solomon | Managing Control - Governing Body | Jan 1, 2025 | |
| Sun Health Freedom Plaza, LLC | 5% Or Greater Direct Ownership Interest | Dec 20, 2024 | 100% |
| Adp of the SNF | Dec 20, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Jai Larman | Operational/Managerial Control | Apr 4, 2018 | |
| Adp of the SNF | Apr 4, 2018 | ||
| Sun Health Services | 5% Or Greater Indirect Ownership Interest | Apr 4, 2018 | 100% |
| Ian Lewis | Operational/Managerial Control | May 29, 2022 | |
| Adp of the SNF | May 29, 2022 | ||
| 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.
-
- Internal Medicine Physician
- Sun City, AZ
- NPI 1588657365
Adp of the SNF, Operational/Managerial Control
-
- Community Health Clinic/Center
- Surprise, AZ
- NPI 1326463779
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba La Loma Care Center
- Skilled Nursing Facility
- Litchfield Park, AZ
- NPI 1477603363
Sun Health Services
-
dba Sun Health Grandview Care Center
- Skilled Nursing Facility
- Sun City West, AZ
- NPI 1255481222
Sun Health Services
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Sun City, AZ
- NPI 1588657365
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Buckeye, AZ
- NPI 1912104886
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.