Libery Manor Resideny, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

ALH-5195 Issued in AZ

Legal business name

LIBERY MANOR RESIDENY, INC.

Doing business as

Liber Manor Residency 2

Practice address

13039 N 34TH Dr
Phoenix, AZ 85029-1216

Phone

(602) 441-2563

Fax

(602) 354-7129

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Maria Roxas, LPN

Title

President

Phone

(602) 524-8124

Specialties & licenses 3

Addresses

Other names 1

• Liber Manor Residency 2 Doing business as

Tax ID family

Liber Manor Residency 22 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.

• Liberty Manor Residency, Inc.

  • Assisted Living Facility (Mental Illness)
  • Phoenix, AZ
  • NPI 1720174303
  NPD tax ID

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548356140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "SUITE 103, PMB 505",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "602-441-2563",
            "fax_number": "602-354-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13039 N 34TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291216",
            "telephone_number": "602-441-2563",
            "fax_number": "602-354-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERY MANOR RESIDENY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROXAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-524-8124",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-5195",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "ALH-5195",
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": "ALH-5195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liber Manor Residency 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liberty Hospice & Palliative Care, Inc
• Liberty Hospice LLC
• Liberty III Management TR (Professional Medical Oxygen)
• Liberty Manor Residency, Inc.
• Liberty Traditional Charter School
• Kyndra Monique Liburd, MD
• Shannon T. Licano
• Michelle Marie Licavoli
• Regan Lichtenberg
• Caleb Lichtenberger, PMHNP-BC

• Assisted Living Facility (Mental Illness) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.