FREEDOM MANOR, INC. (NPI# 1689737579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689737579 |
| Entity Type | Organization |
| Organization Name | FREEDOM MANOR, INC. |
| Other Organization Name | FREEDOM MANOR - CODY'S HOUSE |
| Practice Address |
2116 W Ocelot Dr Tucson AZ 85713-1234 |
| 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-4629 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PROVIDER ID | 856065 | 01 |
| Other Name | Type Code |
|---|---|
| Freedom Manor - Cody's House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194888073 | Freedom Manor, Inc. | Lodging | 628 E Knoll St, Mesa, AZ 85203-1807 | 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 |
2116 W OCELOT DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| 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 |
|---|---|---|---|---|
| 1891926721 | Ronald Mcdonald House Charities of Southern Arizona | Lodging | 3838 N Campbell Ave, Building #6, Tucson, AZ 85719-1478 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693874 | Hayes Reseach, LLC | Lodging | 130 W Hampton Ave Ste 5, Mesa, AZ 85210-5261 | 2020-06-13 |
| 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 |
| 1194888073 | Freedom Manor, Inc. | Lodging | 628 E Knoll St, Mesa, AZ 85203-1807 | 2006-12-19 |
| 1346303245 | Freedom Manor, Inc. | Lodging | 5724 W Cannon Dr, Glendale, AZ 85302-1312 | 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.