Active NPI
Freedom Manor, Inc.
Doing business as Freedom Manor - Phillips House
- Lodging Provider
- Phoenix, AZ
National Provider Identifier
1811051626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- ALH-1539
- Legal business name
- FREEDOM MANOR, INC.
- Doing business as
- Freedom Manor - Phillips House
- Practice address
- 2535 E Heatherbrae Dr
Phoenix, AZ 85016-5651 - Phone
- (602) 956-5556
- Fax
- (602) 957-6556
- NPI assigned
- Dec 19, 2006
- Last updated
- Aug 22, 2020
- 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
- Ms. Sharon L. Phillips
- Title
- Owner
- Phone
- (602) 956-5556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | ALH-1539 | AZ | Primary |
Addresses
Primary practice location
2535 E Heatherbrae Dr
Phoenix, AZ 85016-5651
Mailing address
2524 E Heatherbrae Dr
Phoenix, AZ 85016-5668
Phone (602) 956-5556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395633 | Other | AZ | PROVIDER ID |
Other names 1
- Freedom Manor - Phillips House
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.
-
- Assisted Living Facility
- Phoenix, AZ
- NPI 1710110192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811051626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2524 E HEATHERBRAE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165668",
"telephone_number": "602-956-5556",
"fax_number": "602-957-6556"
},
{
"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": "602-957-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM MANOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-956-5556",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lodging",
"state": "AZ",
"license": "ALH-1539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "395633",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Freedom Manor - Phillips House",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Phoenix, AZ
- 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 Non Emergency Medical Transportation LLC.
- Freedom Primary Care LLC
- Freedom Rehabilitation Center LLC
- Freedomcare Az, LLC (FreedomCare)
- Bernadette T Freeland-Hyde, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.