Organization Active NPI

Freedom Home Health, LLC

  • Home Health Agency
  • Gilbert, AZ
National Provider Identifier
1336896190
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FREEDOM HOME HEALTH, LLC
Practice address
1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045
Phone
(480) 540-3317
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Dario Gomez, PT, NCSNPI 1265623656
Title
Co-Owner
Phone
(480) 540-3317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045

Mailing address

1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045
Phone (480) 540-3317

Other names 1

  • Freedom Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220726001498 AZ Part A Provider - Home Health Agency 6204217094 Practice locations: Gilbert, AZ

Home health agency certification: CCN 037824

Legal name
FREEDOM HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 14, 2022
Last certification
Dec 1, 2022
Organization structure
LLCProprietary
Incorporated
Sep 28, 2021 in AZ
Enrollment address
1525 S Higley Rd
Ste 104
Gilbert, AZ 85296-5045
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Freedom Home HealthCCN 037824
Overall star rating
3 of 5
Ownership
-
Certified
Dec 14, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Dario Gomez Individual 5% Or Greater Direct Ownership InterestCo-Owner Sep 28, 2021 50%
Jared Butcher Individual 5% Or Greater Direct Ownership InterestCo-Owner Sep 28, 2021 50%
W-2 Managing EmployeeCo-Owner Sep 28, 2021 50%

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1336896190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965045",
            "telephone_number": "480-540-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965045",
            "telephone_number": "480-540-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-12-29",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "DARIO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-540-3317",
        "authorized_official_credential": "PT, NCS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freedom Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.