Active NPI
Lol-Life of Liberty, Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Oceanside, CA
National Provider Identifier
1548835556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- LOL-LIFE OF LIBERTY, INC
- Practice address
- 320 N Horne St
Oceanside, CA 92054-2810 - Phone
- (760) 433-5411
- Fax
- (760) 433-5414
- NPI assigned
- May 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Howard
- Title
- Ceo
- Phone
- (760) 433-5411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
320 N Horne St
Oceanside, CA 92054-2810
Mailing address
PO Box 5636
Oceanside, CA 92052-5636
Phone (760) 433-5411
Other practice location 1
2230 Ga Highway 133 S
Moultrie, GA 31788-1768
Phone (229) 217-0565
Other practice location 2
815 S Main St
Moultrie, GA 31768-5434
Phone (229) 890-2583
National Provider Directory
National Provider Directory- Tax ID family
- Lol-Life of Liberty Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Oceanside, CA
- NPI 1659946630
Locations
320 N Horne St
Oceanside, CA 92054
Phone (760) 433-5411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761868800000",
"number": "1548835556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5636",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920525636",
"telephone_number": "760-433-5411",
"fax_number": "760-433-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N HORNE ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920542810",
"telephone_number": "760-433-5411",
"fax_number": "760-433-5414"
}
],
"practiceLocations": [
{
"address_1": "2230 Ga Highway 133 S",
"address_purpose": "LOCATION",
"city": "Moultrie",
"state": "GA",
"postal_code": "317881768",
"country_code": "US",
"telephone_number": "229-217-0565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 S Main St",
"address_purpose": "LOCATION",
"city": "Moultrie",
"state": "GA",
"postal_code": "317685434",
"country_code": "US",
"telephone_number": "229-890-2583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LOL-LIFE OF LIBERTY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-21",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-433-5411"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.