Phoenix Freedom Foundation of MD, Inc
NPI 1457002438ActiveOrganization· Technician, Other· Brandywine, MD
Technician, Other in Brandywine, Maryland, registered in NPPES in January 2022. The authorized official on file is Quornelia A. Hypolite, Program Director/Ceo.
Overview
| NPI | 1457002438 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2022 |
| Last updated in NPPES | Jan 12, 2022 |
| Certified by provider | Jan 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other Primary | 247200000X | — | — |
| In Home Supportive Care | 253Z00000X | — | — |
| Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Technician, Other providers in Brandywine
- 1316704174