LIBERTY MANOR RESIDENCY, INC.
NPI 1720174303
Assisted Living Facility - Assisted Living, Mental Illness in Phoenix, AZ
NPI Status: Active since October 04, 2006
Contact Information
17632 N 5TH PL
PHOENIX, AZ
ZIP 85022
Phone: (602) 441-2563
Fax: (602) 354-7129
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
About LIBERTY MANOR RESIDENCY, INC.
This page provides the complete NPI Profile along with additional information for Liberty Manor Residency, Inc., a provider established in Phoenix, Arizona operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1720174303 assigned on October 2006. The practitioner's primary taxonomy code is 3104A0625X with license number ALH-4580 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Maria Roxas Lpn (President)
- NPI
- 1720174303
- Provider Name
- LIBERTY MANOR RESIDENCY, INC.
- Entity Type
- Organization
- Location Address
- 17632 N 5TH PL PHOENIX, AZ 85022
- Location Phone
- (602) 441-2563
- Location Fax
- (602) 354-7129
- Mailing Address
- 6501 E GREENWAY PKWY SUITE 103, PMB 505 SCOTTSDALE, AZ 85254
- Mailing Phone
- (602) 441-2563
- Mailing Fax
- (602) 354-7129
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License No.
- ALH-4580
- License State
- AZ
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | ALH-4580 (AZ) |
| 2 | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | ALH-4580 (AZ) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720174303, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720174303, enumerated as an "organization" on October 04, 2006.
The provider is located at 17632 N 5TH PL PHOENIX, AZ 85022 and the phone number is (602) 441-2563.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
