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PHOENIX FREEDOM FOUNDATION OF MD, INC
NPI 1457002438
Technician, Other in Brandywine, MD

Active since January 12, 2022
14207 KATHLEEN LN, BRANDYWINE, MD 20613(240) 443-1803 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Phoenix Freedom Foundation Of Md, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX FREEDOM FOUNDATION OF MD, INC (NPI 1457002438) is a healthcare organization registered as a technician, other in Brandywine, Maryland and active in the NPI registry since January 2022. The organization lists Quornelia A Hypolite, Program Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1457002438
Entity TypeOrganization
Primary Taxonomy247200000X
Legal Business NamePHOENIX FREEDOM FOUNDATION OF MD, INC
Location Address14207 KATHLEEN LNBrandywine, MD 20613-3006
Mailing Address2957 Festival Way Ste 123Waldorf, MD 20601-2959 · (240) 443-1803
Phone(240) 443-1803
Organization SubpartNo
Authorized OfficialQuornelia A HypoliteProgram Director/ceo · (240) 443-1803
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1457002438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
14207 KATHLEEN LN, Brandywine, MD 20613
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH JAPA PIEGAL
Technician (Attendant Care Provider)
14207 KATHLEEN LN
BRANDYWINE, MD 20613
Prince George's County (202) 641-6856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Freedom Foundation Of MD, Inc's NPI number?

The NPI number for Phoenix Freedom Foundation Of MD, Inc is 1457002438. It was assigned to this organization in the NPPES registry on January 12, 2022.

Where is Phoenix Freedom Foundation Of MD, Inc located?

Phoenix Freedom Foundation Of MD, Inc is located at 14207 Kathleen Ln, Brandywine, MD 20613. The listed phone number is (240) 443-1803.

What is Phoenix Freedom Foundation Of MD, Inc's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Phoenix Freedom Foundation Of MD, Inc was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.