NPIMap

Organization Active NPI

Liberation Programs Inc

  • Substance Abuse Rehabilitation Facility
  • Stamford, CT
National Provider Identifier
1750562989
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0172 Issued in CT
Legal business name
LIBERATION PROGRAMS INC
Practice address
141 Franklin St
Stamford, CT 06901-1014
Phone
(203) 352-1800
Fax
(203) 352-1806
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mr. Alan Mathis
Title
Chief Executive Officer
Phone
(203) 851-2077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SA0172 CT Primary

Addresses

Primary practice location

141 Franklin St
Stamford, CT 06901-1014

Mailing address

4 Elmcrest Ter
Norwalk, CT 06850-3908
Phone (203) 851-2077

Other names 1

  • Liberation Meridian Guenster Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Liberation Programs Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1750562989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELMCREST TER",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503908",
            "telephone_number": "203-851-2077",
            "fax_number": "203-851-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011014",
            "telephone_number": "203-352-1800",
            "fax_number": "203-352-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATION PROGRAMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-851-2077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "SA0172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberation Meridian Guenster",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.