LIBERTY MANOR RESIDENCY, INC.
NPI 1720174303
Assisted Living Facility - Assisted Living, Mental Illness in Phoenix, AZ

Q: What is Liberty Manor Residency, Inc.'s NPI number?

The NPI number for Liberty Manor Residency, Inc. is 1720174303. It was assigned to this organization in the NPPES registry on October 4, 2006.

Q: What is Liberty Manor Residency, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since October 04, 2006

17632 N 5TH PL, PHOENIX, AZ 85022(602) 441-2563(602) 354-7129 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Liberty Manor Residency, Inc. NPPES

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

LIBERTY MANOR RESIDENCY, INC. (NPI 1720174303) is a healthcare organization registered as an assisted living, mental illness in Phoenix, Arizona and active in the NPI registry since October 2006. The organization lists Maria Roxas, President, as its authorized official.

NPPES Registry Identity

NPI1720174303

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameLIBERTY MANOR RESIDENCY, INC.

Location Address17632 N 5TH PLPhoenix, AZ 85022-1809

Mailing Address6501 E Greenway Pkwy, Suite 103, Pmb 505Scottsdale, AZ 85254-2065 · (602) 441-2563 · Fax (602) 354-7129

Phone(602) 441-2563

Fax(602) 354-7129

Organization SubpartNo

Authorized OfficialMaria RoxasPresident · (602) 524-8124

Enumeration DateOctober 4, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1720174303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in AZ · ALH-4580

Definition

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.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License ALH-4580 (AZ)

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X · License ALH-4580 (AZ)

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 Manor Residency, Inc.'s NPI number?

The NPI number for Liberty Manor Residency, Inc. is 1720174303. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Liberty Manor Residency, Inc. located?

Liberty Manor Residency, Inc. is located at 17632 N 5th Pl, Phoenix, AZ 85022. The listed phone number is (602) 441-2563.

What is Liberty Manor Residency, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Liberty Manor Residency, Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.