LIBERTY HOUSE LLC (NPI# 1104295583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104295583 |
| Entity Type | Organization |
| Organization Name | LIBERTY HOUSE LLC |
| Practice Address |
9314 Forest Hill Blvd 313 Wellington FL 33411-6577 |
| Practice Telephone | 5614604137 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | HENRY PAL REGAN (CEO) |
| Authorized Official Telephone | 5614604137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
10D2099701 | FL | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LIBERTY HOUSE LLC | 1776 Commonwealth Ave, Unit 1, Brighton, MA 02135 |
| Oklahoma Business Registrations | LIBERTY HOUSE LLC | 1805 North Road, Snyder, OK 73566 |
| Virginia Business Entities | Liberty House LLC | 7 South Liberty Street, Po Box 1577, Middleburg, Virginia 20118 |
| Street Address |
9314 FOREST HILL BLVD 313 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33411-6577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649576430 | Medical Support International | Durable Medical Equipment & Medical Supplies | 9314 Forest Hill Blvd, Suite 110, Wellington, FL 33411-6577 | 2011-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467958082 | Medical Service Group LLC | Clinic/Center | 11576 Pierson Rd Ste K6, Wellington, FL 33414-8765 | 2018-04-03 |
| 1164920005 | Compassionate Care Recovery Inc | Clinic/Center | 642 W Rambling Dr, Wellington, FL 33414-5024 | 2018-01-25 |
| 1104226497 | Footsteps To Freedom Recovery | Clinic/Center | 3319 State Road 7 Ste 301, Wellington, FL 33449-8093 | 2014-08-25 |
| 1104372127 | Wellington Counseling & Associates | Clinic/Center | 12794 Forest Hill Blvd, Suite 18, Wellington, FL 33414-4710 | 2016-08-30 |
| 1396086880 | Peace of Mind Wellness Center, LLC | Clinic/Center | 12785 Forest Hill Blvd, Suite 8c, Wellington, FL 33414-4777 | 2013-03-07 |
| 1205164415 | Wellington Counseling & Associates | Clinic/Center | 12794 W Forest Hill Blvd, Suite 18b, Wellington, FL 33414-4710 | 2009-11-28 |
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| 1144839283 | St John's Recovery Place LLC | Clinic/Center | St Johns Recovery Place LLC, 1811 S Orlando Ave, Cocoa Beach, FL 32931-3211 | 2020-07-24 |
| 1205451689 | Inspire of Palm Beach | Clinic/Center | 1803 S Australian Ave, West Palm Beach, FL 33409-6454 | 2020-06-11 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1265054761 | Holistix Treatment Centers, LLC | Clinic/Center | 5311 Lake Worth Rd, Greenacres, FL 33463-3353 | 2020-05-07 |
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on LIBERTY HOUSE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.