Freedom Plaza Operating Company LLC
NPI 1306357926ActiveOrganization· Skilled Nursing Facility· Peoria, AZ
Skilled Nursing Facility in Peoria, Arizona, registered in NPPES in October 2017. The authorized official on file is Cheryl Roskamp, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1306357926 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2017 |
| Last updated in NPPES | Nov 21, 2024 |
| Certified by provider | Nov 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Assisted Living Facility | 310400000X | — | — |
| Alzheimer Center (Dementia Center) | 311500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (AZ) |
|---|
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