Provider Demographics
NPI:1730564220
Name:FREEDOM GROUP LLC
Entity type:Organization
Organization Name:FREEDOM GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ENDREDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-588-8200
Mailing Address - Street 1:12035 N SAGUARO BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-4683
Mailing Address - Country:US
Mailing Address - Phone:480-588-8200
Mailing Address - Fax:480-588-8212
Practice Address - Street 1:12035 N SAGUARO BLVD STE 101
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-4683
Practice Address - Country:US
Practice Address - Phone:480-588-8200
Practice Address - Fax:480-588-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based