LIBERTY HOME LLC
NPI 1558832683
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since December 16, 2018
9649 N 36TH AVE, PHOENIX, AZ 85051(602) 423-6758 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Liberty Home Llc NPPES

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

LIBERTY HOME LLC (NPI 1558832683) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since December 2018. The organization lists Mohamed Sesay, Program Director, as its authorized official.

NPPES Registry Identity

NPI1558832683
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLIBERTY HOME LLC
Location Address9649 N 36TH AVEPhoenix, AZ 85051
Mailing Address9649 N 36th AvePhoenix, AZ 85051 · (602) 423-6758
Organization SubpartNo
Authorized OfficialMohamed SesayProgram Director · (602) 423-6758
Enumeration DateDecember 16, 2018
✔ NPI 1558832683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
9649 N 36TH AVE, Phoenix, AZ 85051

Other Names 1

Doing Business AsLiberty Home Llc

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 Home LLC's NPI number?

The NPI number for Liberty Home LLC is 1558832683. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Liberty Home LLC located?

Liberty Home LLC is located at 9649 N 36th Ave, Phoenix, AZ 85051. The listed phone number is (602) 423-6758.

What is Liberty Home LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Liberty Home LLC was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.