Active NPI
Freedom Manor, Inc.
- Assisted Living Facility
- Phoenix, AZ
National Provider Identifier
1710110192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FREEDOM MANOR, INC.
- Practice address
- 2535 E Heatherbrae Dr
Phoenix, AZ 85016-5651 - Phone
- (602) 956-5556
- Fax
- (623) 434-7213
- NPI assigned
- Sep 1, 2009
- Last updated
- Sep 3, 2009
- 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
- Sharon Phillips
- Title
- President
- Phone
- (602) 956-5556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2535 E Heatherbrae Dr
Phoenix, AZ 85016-5651
Mailing address
2535 East Heatherbrae Drive
Phoenix, AZ 85016
Phone (602) 956-5556
National Provider Directory
National Provider Directory- Tax ID family
- Freedom Manor - Bandalier House
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251936000000",
"number": "1710110192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 EAST HEATHERBRAE DRIVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-956-5556",
"fax_number": "623-434-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 E HEATHERBRAE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165651",
"telephone_number": "602-956-5556",
"fax_number": "623-434-7213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM MANOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-03",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-956-5556"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Freedom Group LLC (Arizona Care Hospice)
- Freedom Health Interventional Centers LLC (True Precision Medical)
- Freedom Health Vascular LLC
- Freedom Manor, Inc. (Freedom Manor - Bandalier House)
- Freedom Manor, Inc. (Freedom Manor - Brannon House)
- Freedom Manor, Inc. (Freedom Manor - Phillips House)
- Freedom Non Emergency Medical Transportation LLC.
- Freedom Primary Care LLC
- Freedom Rehabilitation Center LLC
- Freedomcare Az, LLC (FreedomCare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.