FREEDOM MANOR, INC. (NPI# 1194888073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194888073 |
| Entity Type | Organization |
| Organization Name | FREEDOM MANOR, INC. |
| Other Organization Name | FREEDOM MANOR - TRETHEWEY HOUSE |
| Practice Address |
628 E Knoll St Mesa AZ 85203-1807 |
| Mailing Address |
2524 E Heatherbrae Dr Phoenix AZ 85016-5668 |
| Practice Telephone | 6029565556 |
| Practice Fax Number | 6029576556 |
| Mailing Telephone | 6029565556 |
| Mailing Fax Number | 6029576556 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHARON L. PHILLIPS (OWNER) |
| Authorized Official Telephone | 6029565556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | ALH-4155 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PROVIDER ID | 755126 | 01 |
| Other Name | Type Code |
|---|---|
| Freedom Manor - Trethewey House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689737579 | Freedom Manor, Inc. | Lodging | 2116 W Ocelot Dr, Tucson, AZ 85713-1234 | 2006-12-19 |
| 1346303245 | Freedom Manor, Inc. | Lodging | 5724 W Cannon Dr, Glendale, AZ 85302-1312 | 2006-12-19 |
| 1134282080 | Freedom Manor, Inc. | Lodging | 2524 E Heatherbrae Dr, Phoenix, AZ 85016-5668 | 2006-12-19 |
| 1811051626 | Freedom Manor, Inc. | Lodging | 2535 E Heatherbrae Dr, Phoenix, AZ 85016-5651 | 2006-12-19 |
| 1467516278 | Freedom Manor, Inc. | Lodging | 2536 E Heatherbrae Dr, Phoenix, AZ 85016-5668 | 2006-12-19 |
| 1710110192 | Freedom Manor, Inc. | Assisted Living Facility | 2535 E Heatherbrae Dr, Phoenix, AZ 85016-5651 | 2009-09-01 |
| Street Address |
628 E KNOLL ST |
| City | MESA |
| State | AZ |
| Zip Code | 85203-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693874 | Hayes Reseach, LLC | Lodging | 130 W Hampton Ave Ste 5, Mesa, AZ 85210-5261 | 2020-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912134164 | Simona Magda | Lodging | 11433 N 33rd Ave, Phoenix, AZ 85029-3236 | 2009-06-15 |
| 1164666236 | Betsy Custard | Lodging | 3484 N Constance Dr., Prescott Valley, AZ 86314 | 2009-04-21 |
| 1366607145 | Northland Hospice & Palliative Care | Lodging | 752 N Switzer Canyon Dr, Flagstaff, AZ 86001-4835 | 2008-07-22 |
| 1275717530 | Donna L Rose | Lodging | 6005 E Abineau Canyon Dr, Flagstaff, AZ 86004-7168 | 2007-12-21 |
| 1275688582 | Ronald L Thorne | Lodging | 2707 E Oak St, Phoenix, AZ 85008-1938 | 2007-01-24 |
| 1265585269 | Zahra Chebet Plagens | Lodging | 7445 W Cheryl Dr, Peoria, AZ 85345-6722 | 2007-01-21 |
| 1235280165 | Alona Q. Turalba | Lodging | 862 N John Way, Chandler, AZ 85225-9023 | 2007-01-16 |
| 1689737579 | Freedom Manor, Inc. | Lodging | 2116 W Ocelot Dr, Tucson, AZ 85713-1234 | 2006-12-19 |
| 1346303245 | Freedom Manor, Inc. | Lodging | 5724 W Cannon Dr, Glendale, AZ 85302-1312 | 2006-12-19 |
| 1134282080 | Freedom Manor, Inc. | Lodging | 2524 E Heatherbrae Dr, Phoenix, AZ 85016-5668 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.