Active NPI
Freedom Home Health, LLC
- Home Health Agency
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dario Gomez, PT, NCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Sep 28, 2021 in AZ
- Enrollment address
- 1525 S Higley Rd
Ste 104
Gilbert, AZ 85296-5045
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Freedom Home Health
- Overall star rating
- Ownership
- -
- Certified
- Dec 14, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dario Gomez | 5% Or Greater Direct Ownership Interest | Sep 28, 2021 | 50% |
| Jared Butcher | 5% Or Greater Direct Ownership Interest | Sep 28, 2021 | 50% |
| W-2 Managing Employee | 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.
-
- Physical Therapist
- American Fork, UT
- NPI 1265623656
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.