Liberation House LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

LIBERATION HOUSE LLC

Practice address

417 SW 9TH St
Delray Beach, FL 33444-2331

Phone

(561) 901-5525

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Melvin Clark IIINPI 1700273836

Title

Owner/Ceo

Phone

(561) 901-5525

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin Clark III, C.C.M.

  • Case Manager/Care Coordinator
  • Delray Beach, FL
  • NPI 1700273836
  NPD (past) Authorized official

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1336534601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OCEANVIEW AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334444373",
            "telephone_number": "561-901-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SW 9TH ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442331",
            "telephone_number": "561-901-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATION HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "561-901-5525",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca J Lewis, MD
• Jennifer Lynn Lewis
• Stuart T Lewis, D.O.
• Sara Delaney Lezcano, PA-C
• Lha Smiles Design, Inc
• Liberty Inn LLC
• Lice Cleanique, LLC.
• Lieber Podiatry Associates PA
• Ross I Lieberfarb, MD
• Alan Neal Lieberman, M.D.

• Case Manager/Care Coordinator in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.