NPIMap

Organization Active NPI

Loyd'S Liberty Homes, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Merced, CA
National Provider Identifier
1447434386
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
3567 San Jose Ave
Merced, CA 95348-2225
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

3567 San Jose Ave
Merced, CA 95348-2225

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
LTC80308GMedicaidCA

Other names 1

  • Loyd's Libert Homes - San Jose Other name

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": "1447434386",
    "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": "3567 SAN JOSE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482225",
            "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": "LTC80308G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loyd's Libert Homes - San Jose",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.