NPIMap

Organization Active NPI

Loyd's Liberty Homes, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Merced, CA
National Provider Identifier
1184808925
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
LOYD'S LIBERTY HOMES, INC
Practice address
450 El Portal Dr
Merced, CA 95340-0935
Phone
(559) 451-0399
NPI assigned
Dec 27, 2007
Organization subpart
Yes
Parent organization
THE MENTOR NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Nancy Bargmann
Title
Vice President
Phone
(909) 483-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

450 El Portal Dr
Merced, CA 95340-0935

Mailing address

3649 W Beechwood Ave
Ste 106
Fresno, CA 93711-0693
Phone (559) 451-0399

Other identifiers 1

IdentifierTypeStateIssuer
LTC60719HMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G969

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LOYD'S LIBERTY HOMES, INC - EL PORTAL
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 2, 1996
Last certification
Apr 10, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
450 El Portal Drive
Merced, CA 95340

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2065990El Portal - Loyd's Liberty Homes, Inc450 El Portal Dr, Merced, CA 95340Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Loyd's Liberty Homes Inc31 organizations share this tax ID, including this one
Part of
California Mentor

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1184808925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 W BEECHWOOD AVE",
            "address_2": "STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110693",
            "telephone_number": "559-451-0399",
            "fax_number": "559-451-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 EL PORTAL DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400935",
            "telephone_number": "559-451-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYD'S LIBERTY HOMES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MENTOR NETWORK",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "BARGMANN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-483-2505"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60719H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.