Liberty Four Community Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

294 Issued in LA

Legal business name

LIBERTY FOUR COMMUNITY HOME

Practice address

134 Progress Rd
Ville Platte, LA 70586-5724

Phone

(337) 546-0667

Fax

(337) 546-6827

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frankie J Lafleur Jr.

Title

Director of Operations

Phone

(337) 363-0228

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194851006. Details of each certification follow.

• CCN 19G239 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G239

Legal name

Liberty Four Community Home

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Mar 1, 1988

Last certification

Aug 20, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

134 Progress Road
Ville Platte, LA 70586

Tax ID family

Eunice Developmental Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Liberty One Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Eunice, LA
  • NPI 1639205693
  NPD tax ID
• Liberty Six Community Homes

  • Adult Day Care Clinic/Center
  • Eunice, LA
  • NPI 1982043287
  NPD tax ID
• Liberty Six Community Homes, Inc.

  dba Eunice Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Eunice, LA
  • NPI 1093840597
  NPD tax ID
• Liberty Three Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Eunice, LA
  • NPI 1043346034
  NPD tax ID
• Liberty Two Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Eunice, LA
  • NPI 1952437931
  NPD tax ID

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194851006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PROGRESS RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865724",
            "telephone_number": "337-546-0667",
            "fax_number": "337-546-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PROGRESS RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865724",
            "telephone_number": "337-546-0667",
            "fax_number": "337-546-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FOUR COMMUNITY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAFLEUR",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "337-363-0228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "1717967",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Intellectual Disabilities Intermediate Care Facility in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.