Healthcare Provider Details

I. General information

NPI: 1730564220
Provider Name (Legal Business Name): FREEDOM GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 E WASHINGTON ST STE 200
PHOENIX AZ
85034-1010
US

IV. Provider business mailing address

1112 E WASHINGTON ST STE 200
PHOENIX AZ
85034-1010
US

V. Phone/Fax

Practice location:
  • Phone: 480-588-8200
  • Fax: 480-588-8212
Mailing address:
  • Phone: 480-588-8200
  • Fax: 480-588-8212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ENDREDY
Title or Position: MEMBER
Credential:
Phone: 480-588-8200