Liberty Home LLC
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 9649 N 36th Ave, Phoenix, AZ 85051
Phone: 6024236758

Liberty Home LLC (NPI# 1558832683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1558832683
Entity Type Organization
Organization Name LIBERTY HOME LLC
Practice Address 9649 N 36th Ave
Phoenix
AZ 85051
Practice Telephone 6024236758
Mailing Address 9649 N 36th Ave
Phoenix
AZ 85051
Mailing Telephone 6024236758
Authorized Official Name Mohamed Sesay (PROGRAM DIRECTOR)
Authorized Official Telephone 6024236758
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-12-16
Last Update Date 2018-12-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Liberty Home LLC Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

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Office Location

Street Address 9649 N 36TH AVE
City PHOENIX
State AZ
Zip Code 85051

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184250383 Jhajaira Elizabeth Cadenas Optometrist 3937 W Northview Ave, Phoenix, AZ 85051 2020-03-19
1083270854 Vision With Wings Voluntary or Charitable 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 2019-05-16
1417510405 Applied Behavioral Interventions Pllc Dietitian, Registered 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 2019-04-16
1518459080 Addie Robin Diroberts Counselor 10240 W. 31st Ave, Phoenix, AZ 85051 2018-05-31
1093239816 Jason Allan Parker Licensed Practical Nurse 3310 West Cheryl Drive, Phoenix, AZ 85051 2017-08-02
1588019145 Vanessa Eloise Hernandez Counselor 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 2016-05-02
1912230178 Mozelle Barr Martin Counselor 3734 W. Vista Ave., Phoenix, AZ 85051 2009-09-04
1316184542 Tom Sowash Od & Associates PC Optometrist 9617 North Parkway West, #1160, Phoenix, AZ 85051 2009-01-09
1609026913 Luma Z Sayegh Dentist 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 2008-09-23
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Competitor

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City PHOENIX
Zip Code 85051

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Dataset Information

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.