Freshlove LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

FRESHLOVE LLC

Doing business as

Freslove Behavioral Home

Practice address

1185 E Kingman St
Casa Grande, AZ 85122-6729

Phone

(470) 330-5317

NPI assigned

Oct 5, 2021

Last updated

Oct 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Orleans Nketsia Dadzie

Title

Owner

Phone

(470) 331-5317

Specialties & licenses 1

Addresses

Other names 1

• FRESLOVE BEHAVIORAL HOME Doing business as

Tax ID family

Freshlove LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freshlove LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Casa Grande, AZ
  • NPI 1093422362
  NPD tax ID

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1700558970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 E KINGMAN ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226729",
            "telephone_number": "470-330-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 E KINGMAN ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226729",
            "telephone_number": "470-330-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESHLOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "DADZIE",
        "authorized_official_first_name": "ORLEANS",
        "authorized_official_middle_name": "NKETSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-331-5317"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESLOVE BEHAVIORAL HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Theresa Frantz, APRN
• Carly Ruth Frary, PT
• Katlyn Marie Frazier, RN
• Carrie Freeland, RN
• Freshlove LLC
• Frys Food and Drug Stores
• Cathy M Fuller, ANP
• Precious Gaddis
• Lisa Gaffney, PT
• Brian Daniel Gange, PHARMD

• Assisted Living Facility (Behavioral Disturbances) in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.