Freedom Care at Bella Vista LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FREEDOM CARE AT BELLA VISTA LLC

Practice address

17898 N Bell Pointe Blvd
Surprise, AZ 85374-3961

Phone

(928) 252-1037

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Riley Quinlan

Title

Owner

Phone

(650) 704-0541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1427826338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20554 W BRIARWOOD DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961836",
            "telephone_number": "650-704-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17898 N BELL POINTE BLVD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743961",
            "telephone_number": "928-252-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CARE AT BELLA VISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-704-0541"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.