Organization Active NPI

Liberty House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Anaheim, CA
National Provider Identifier
1144375049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LIBERTY HOUSE
Practice address
1133 N Liberty LN
Anaheim, CA 92805-1544
Phone
(714) 535-2943
Fax
(714) 956-7303
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Magie Frani
Title
Owner
Phone
(714) 213-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

1133 N Liberty LN
Anaheim, CA 92805-1544

Mailing address

15331 Normandy LN
La Mirada, CA 90638-4745
Phone (714) 535-2943

National Provider Directory

National Provider Directory
Tax ID family
Liberty House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144375049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15331 NORMANDY LN",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384745",
            "telephone_number": "714-535-2943",
            "fax_number": "714-956-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N LIBERTY LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051544",
            "telephone_number": "714-535-2943",
            "fax_number": "714-956-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANI",
        "authorized_official_first_name": "MAGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-213-5009"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.