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LIBERTY HOUSE RECOVERY CENTER LLC
NPI 1619565173
Substance Abuse Rehabilitation Facility in Fenton, MI

Active since January 09, 2021CLIA 23D2262979 · Waiver
13520 WHITE LAKE RD, FENTON, MI 48430(810) 208-0266(810) 936-8228 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Jan 9, 2023, Sep 30, 2022 and 2 more (5 updates tracked since 2021).

About Liberty House Recovery Center Llc NPPES

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

LIBERTY HOUSE RECOVERY CENTER LLC (NPI 1619565173) is a healthcare organization registered as a substance abuse rehabilitation facility in Fenton, Michigan and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Susan Abed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619565173
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIBERTY HOUSE RECOVERY CENTER LLC
Location Address13520 WHITE LAKE RDFenton, MI 48430-8428
Mailing Address13520 White Lake RdFenton, MI 48430-8428
Phone(810) 208-0266
Fax(810) 936-8228
Organization SubpartNo
Authorized OfficialSusan AbedCeo · (810) 208-0266
Enumeration DateJanuary 9, 2021
Last NPPES UpdateJanuary 29, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1619565173 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.
13520 WHITE LAKE RD, Fenton, MI 48430
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D2262979

Liberty House Recovery Center · Fenton, MI
Active · expires Jun 20, 2028
CLIA Number23D2262979
Laboratory TypeSubstance Abuse
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorSusan Abed
Laboratory Phone(810) 445-9059
Laboratory LocationLiberty House Recovery Center13520 White Lake Road, Fenton, MI 48430
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. ASHLEY HASAN CASEY DPM, MSW
Social Worker (Clinical)
13520 WHITE LAKE RD
FENTON, MI 48430
Genesee County (810) 208-0266

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 House Recovery Center LLC's NPI number?

The NPI number for Liberty House Recovery Center LLC is 1619565173. It was assigned to this organization in the NPPES registry on January 9, 2021.

Where is Liberty House Recovery Center LLC located?

Liberty House Recovery Center LLC is located at 13520 White Lake Rd, Fenton, MI 48430. The listed phone number is (810) 208-0266.

What is Liberty House Recovery Center LLC's specialty?

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

Does Liberty House Recovery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2262979) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty House Recovery Center LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Liberty House Recovery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty House Recovery Center LLC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.