LIBERTY HOUSE (NPI# 1861565517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861565517 |
| Entity Type | Organization |
| Organization Name | LIBERTY HOUSE |
| Practice Address |
1133 N Liberty Lane Anaheim CA 92805 |
| Mailing Address |
15331 Normandy Lane Lamiranda CA 90638 |
| Practice Telephone | 7145352943 |
| Practice Fax Number | 7149567303 |
| Mailing Telephone | 7145352943 |
| Mailing Fax Number | 7149567303 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MAGGIE S FRANI (OWNER) |
| Authorized Official Telephone | 7142135009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144375049 | Liberty House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1133 N Liberty Ln, Anaheim, CA 92805-1544 | 2007-01-24 |
| 1639244056 | Liberty House | Pediatrics | 2685 4th St Ne, Salem, OR 97301-6548 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LIBERTY HOUSE | 22609 Se 284th Ct, Maple Valley, WA 98038-4501 |
| Colorado Business Entities | Liberty House | 405 Cornell Ave., Fort Collins, CO 80425 |
| Oregon Corporations, Companies and Business Names | LIBERTY HOUSE | 2685 4th St Ne, Salem, OR 97301 |
| System for Award Management (SAM) Entities | LIBERTY HOUSE | 54 Bay St, Glens Falls, NY 12801-3028 |
| New York State Corporations | LIBERTY HOUSE FOUNDATION, INC. | 54 Bay Street, Glens Falls, Ny 12801 |
| Indiana Business Entities | LIBERTY HOUSE INC. | 248 Locust, Hammond, IN 46324 |
| Connecticut Business Registrations | LIBERTY HOUSE INTERNATIONAL CHURCH, INC. | 647 Tolland Turnpike, Manchester, CT 06040 |
| Massachusetts Corporations | LIBERTY HOUSE LLC | 1776 Commonwealth Ave, Unit 1, Brighton, MA 02135 |
| Oklahoma Business Registrations | LIBERTY HOUSE LLC | 1805 North Road, Snyder, OK 73566 |
| Virginia Business Entities | Liberty House LLC | 7 South Liberty Street, Po Box 1577, Middleburg, Virginia 20118 |
| Street Address |
1133 N LIBERTY LANE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497386569 | M&s Guesthomes, Inc. | Intermediate Care Facility, Mental Illness | 2424 W Glencrest Ave, Anaheim, CA 92801-3224 | 2020-01-28 |
| 1972081651 | Oc Care Centers, Inc. | Intermediate Care Facility, Mental Illness | 127 N Queensbury St, Anaheim, CA 92806-3814 | 2018-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487282273 | Crestwood Behavioral Health, Inc. | Intermediate Care Facility, Mental Illness | 303 S C St, Lompoc, CA 93436-7305 | 2020-03-29 |
| 1346711504 | Cedacal, LLC. | Intermediate Care Facility, Mental Illness | 5663 Cedarglen Dr, Azusa, CA 91702-5007 | 2018-12-16 |
| 1396213302 | Amazing Grace Oasis II | Intermediate Care Facility, Mental Illness | 8708 Bridgeport Ave, Hesperia, CA 92344-5562 | 2018-11-07 |
| 1659858868 | Athina Kamar | Intermediate Care Facility, Mental Illness | 5826 Jumilla Ave, Woodland Hills, CA 91367-5604 | 2018-07-20 |
| 1447758024 | Crestwood Behavioral Health Inc | Intermediate Care Facility, Mental Illness | 450 Stanyan St Fl 5, San Francisco, CA 94117-1019 | 2018-01-29 |
| 1376067439 | Alacar. Inc | Intermediate Care Facility, Mental Illness | 4640 E Kaviland Ave, Fresno, CA 93725-1632 | 2017-07-31 |
| 1912358904 | American Helath Services | Intermediate Care Facility, Mental Illness | 1524 W 227th St Apt 1, Torrance, CA 90501-4917 | 2016-06-30 |
| 1639547896 | Arcaida Home Care & Staffing | Intermediate Care Facility, Mental Illness | 1090 E Cypress Ave, Suite B, Redding, CA 96002-1163 | 2015-09-04 |
| 1023495181 | Crestwood Behavioral Health, Inc. | Intermediate Care Facility, Mental Illness | 960 Third Ave, Chula Vista, CA 91911 | 2015-04-28 |
| 1295146934 | Crestwood Behavioral Health, Inc. | Intermediate Care Facility, Mental Illness | 5550 University Ave Ste A, San Diego, CA 92105 | 2014-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.