Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LIBERTY COMMUNITY PROGRAMS WV
NPI 1053244293
Substance Abuse Rehabilitation Facility in Sugar Grove, WV

Active since June 06, 2026CLIA 51D2329064 · Waiver
133 HEDRICK DR, SUGAR GROVE, WV 26815(925) 518-1340 Get Directions Write a Review

NPPES record added: June 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Community Programs Wv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY COMMUNITY PROGRAMS WV (NPI 1053244293) is a healthcare organization registered as a substance abuse rehabilitation facility in Sugar Grove, West Virginia and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Fredericka Ford, Coo, as its authorized official.

NPPES Registry Identity

NPI1053244293
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIBERTY COMMUNITY PROGRAMS WV
Location Address133 HEDRICK DRSugar Grove, WV 26815-5068
Mailing Address133 Hedrick DrSugar Grove, WV 26815-5068 · (925) 518-1340
Organization SubpartNo
Authorized OfficialFredericka FordCoo · (925) 518-1340
Enumeration DateJune 6, 2026
NPPES CertifiedJune 6, 2026
NPI 1053244293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
133 HEDRICK DR, Sugar Grove, WV 26815

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2329064

Liberty Community Programs · Sugar Grove, WV
Active · expires Aug 20, 2027
CLIA Number51D2329064
Laboratory TypeRes Treatment Facility
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorFredericka Ford
Laboratory Phone(805) 825-8488
Laboratory LocationLiberty Community Programs152 Armentrout, Sugar Grove, WV 26815
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
133 HEDRICK DR
SUGAR GROVE, WV 26815
Substance Abuse Rehabilitation Facility
133 HEDRICK DR
SUGAR GROVE, WV 26815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Community Programs Wv's NPI number?

The NPI number for Liberty Community Programs Wv is 1053244293. It was assigned to this organization in the NPPES registry on June 6, 2026.

Where is Liberty Community Programs Wv located?

Liberty Community Programs Wv is located at 133 Hedrick Dr, Sugar Grove, WV 26815. The listed phone number is (925) 518-1340.

What is Liberty Community Programs Wv's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Liberty Community Programs Wv hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2329064) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Community Programs Wv was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.