Liberty House Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIBERTY HOUSE RECOVERY, LLC

Practice address

710 The Ter
Redlands, CA 92374-4465

Phone

(909) 754-1712

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Lacey Leigh Ursich

Title

Ceo

Phone

(909) 754-1712

Specialties & licenses 1

Addresses

Electronic endpoints 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Leone

  • Student in an Organized Health Care Education/Training Program
  • Redlands, CA
  • NPI 1760358014
  NPD
• Joanna Gabriela Valdez

  • Student in an Organized Health Care Education/Training Program
  • Redlands, CA
  • NPI 1215684030
  NPD
• David Deyhimy, M.D.

  • Anesthesiology Physician
  • Laguna Hills, CA
  • NPI 1376528489
  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1861145823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923520207",
            "telephone_number": "909-754-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 THE TER",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744465",
            "telephone_number": "909-754-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOUSE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "URSICH",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-754-1712"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacey@libertyhouserecovery.org",
            "affiliation": "N",
            "address_1": "710 The Ter",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923744465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacey@libertyhouserecovery.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "710 The Ter",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923744465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharika Monquie Lewis, RH0015780725
• Han Li
• Kenneth Yiu Kei Li, D.D.S.
• Ying Li
• Reed Tingwei Liang, M.D.
• Libramed Inc.
• Christina Liem, MS, CCC-SLP
• Lifecare Solutions Inc
• Lifecare Solutions Inc
• Kristen Liggins

• Substance Abuse Rehabilitation Facility in Redlands, CA
• Providers in Redlands, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.