NPIMap

Organization Active NPI

Liberty One Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Eunice, LA
National Provider Identifier
1639205693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
523 Issued in LA
Legal business name
LIBERTY ONE COMMUNITY HOME
Practice address
1050 W Vine Ave
Eunice, LA 70535-3132
Phone
(337) 546-6650
Fax
(337) 546-6827
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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) 546-0667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 523 LA Primary

Addresses

Primary practice location

1050 W Vine Ave
Eunice, LA 70535-3132

Mailing address

1050 W Vine Ave
P.O. Box 1287
Eunice, LA 70535-3132
Phone (337) 546-6650

Other identifiers 1

IdentifierTypeStateIssuer
1717649OtherLAPROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G260

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Liberty One Community Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 10, 1988
Last certification
Feb 6, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1050 West Vine Street
Eunice, LA 70535

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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": "1639205693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W VINE AVE",
            "address_2": "P.O. BOX 1287",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353132",
            "telephone_number": "337-546-6650",
            "fax_number": "337-546-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W VINE AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353132",
            "telephone_number": "337-546-6650",
            "fax_number": "337-546-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ONE 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": "337-546-0667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "1717649",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.