LIBERATION HOUSE LLC (NPI# 1336534601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336534601 |
| Entity Type | Organization |
| Organization Name | LIBERATION HOUSE LLC |
| Practice Address |
417 Sw 9th St Delray Beach FL 33444-2331 |
| Mailing Address |
2501 Oceanview Ave Delray Beach FL 33444-4373 |
| Practice Telephone | 5619015525 |
| Mailing Telephone | 5619015525 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | MELVIN CLARK III (OWNER/CEO) |
| Authorized Official Telephone | 5619015525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
417 SW 9TH ST |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33444-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700273836 | Melvin Clark IIi | Case Manager/Care Coordinator | 417 Sw 9th St, Delray Beach, FL 33444-2331 | 2015-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942193 | Jeanette Zaneta Denker | Psychologist | 202 N Swinton Avenue, Delray Beach, FL 33444 | 2020-01-28 |
| 1861048290 | Marcus Grey | General Practice | 109 North Swinton Avenue, Delray Beach, FL 33444 | 2019-08-12 |
| 1700367471 | Gracenia Jerome | Physical Therapy Assistant | 821 Sw 3rd Ct, Delray Beach, FL 33444 | 2018-08-22 |
| 1629565650 | Palm Partners, LLC | Substance Abuse Rehabilitation Facility | 707 Linton Blvd., Building D, Delray Beach, FL 33444 | 2018-04-16 |
| 1710474705 | Palm Partners, LLC | Substance Abuse Rehabilitation Facility | 709 Linton Blvd., Building D, Delray Beach, FL 33444 | 2018-04-16 |
| 1942729173 | Jacqueline Channell | Nurse Practitioner | 111 Stone Harbor Way F1, Delray Beach, FL 33444 | 2017-09-19 |
| 1720508708 | Brunia Beaubrun | Clinic/Center | 725 Village Square Cir., Unit 318, Delray Beach, FL 33444 | 2017-06-21 |
| 1023472719 | Turning Point Sober Home | Case Management | 634 Bunting Dr, Delray, FL 33444 | 2016-04-08 |
| 1568829299 | Derek Moore | Chiropractor | 401 W Atlantic Ave Unit 14, Delray Beach, FL 33444 | 2016-01-26 |
| 1114316056 | Michael Mayhall | Counselor | 213 Northwest 15th Avenue, Delray Beach, FL 33444 | 2015-01-15 |
| Find all providers in zip 33444 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1659829208 | Lauren Nicole Mckigney | Case Manager/Care Coordinator | 4005 Village Dr, Unit D, Delray Beach, FL 33445-2921 | 2016-09-12 |
| 1760853337 | Dorcas Lucien | Case Manager/Care Coordinator | 229 Se 2nd Ave, 8, Delray Beach, FL 33483-4553 | 2015-10-08 |
| 1992133185 | Martiale Leonard | Case Manager/Care Coordinator | 381 Saxony H, Delray Beach, FL 33446-1004 | 2013-10-24 |
| 1336313337 | Pamper Your Parents Inc | Case Manager/Care Coordinator | 14527 Bonaire Blvd, #307, Delray Beach, FL 33446 | 2008-04-22 |
| 1760838015 | Chrysalis Aba Therapy Corp | Case Manager/Care Coordinator | 5180 W Atlantic Ave, Suite 114, Delray Beach, FL 33484-8103 | 2016-05-05 |
| 1386020279 | Stanton Brooks | Case Manager/Care Coordinator | 1300 Nw 17th Ave, Unit 273a, Delray Beach, FL 33445-2578 | 2015-08-03 |
| 1700273836 | Melvin Clark IIi | Case Manager/Care Coordinator | 417 Sw 9th St, Delray Beach, FL 33444-2331 | 2015-04-15 |
| 1306160668 | Jeannette P Molina | Case Manager/Care Coordinator | 16158 S Military Trl, Delray Beach, FL 33484-6502 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1316547615 | Kyomi Santana | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-10-27 |
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1891394409 | Ariadna Cannet | Case Manager/Care Coordinator | 27583 Sw 143rd Ct, Homestead, FL 33032-8871 | 2020-10-23 |
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1326646985 | Lewis Connects | Case Manager/Care Coordinator | 885 Hickory Ave, Orange City, FL 32763-6864 | 2020-10-15 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1548867831 | Jessica Bickman | Case Manager/Care Coordinator | 1026 Replica Ave, Sebring, FL 33872-2720 | 2020-10-08 |
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1679180392 | Astrid C Montesinos Franco | Case Manager/Care Coordinator | 7656 Nw 5th St Apt 4f, Plantation, FL 33324-1940 | 2020-09-27 |
| Find all providers with the same taxonomy | ||||
| City | DELRAY BEACH |
| Zip Code | 33444 |
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| 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.