LIBERTY HOUSE OUTPATIENT LLC
NPI 1720891914
Clinic/Center - Rehabilitation, Substance Use Disorder in Wixom, MI

Q: What is Liberty House Outpatient LLC's NPI number?

The NPI number for Liberty House Outpatient LLC is 1720891914. It was assigned to this organization in the NPPES registry on January 30, 2025.

Q: What is Liberty House Outpatient LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since January 30, 2025CLIA 23D2332897 · Waiver

28345 BECK RD STE 203, WIXOM, MI 48393(810) 208-0266(810) 936-8228 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Liberty House Outpatient Llc NPPES

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

LIBERTY HOUSE OUTPATIENT LLC (NPI 1720891914) is a healthcare organization registered as a rehabilitation, substance use disorder in Wixom, Michigan and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Susan Abed, Ceo / Owner, as its authorized official.

NPPES Registry Identity

NPI1720891914

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameLIBERTY HOUSE OUTPATIENT LLC

Location Address28345 BECK RD STE 203Wixom, MI 48393-4737

Mailing Address28345 Beck Rd Ste 203Wixom, MI 48393-4737 · (248) 290-9800 · Fax (248) 290-9805

Phone(810) 208-0266

Fax(810) 936-8228

Organization SubpartNo

Authorized OfficialSusan AbedCeo / Owner · (248) 255-6268

Enumeration DateJanuary 30, 2025

Last NPPES UpdateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1720891914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

28345 BECK RD STE 203, Wixom, MI 48393

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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 23D2332897

Liberty House Outpatient · Wixom, MI

Active · expires Oct 26, 2027

CLIA Number23D2332897

Laboratory TypeSud Outpatient Clinic

Certificate Effective DateOctober 27, 2025

Certificate Expiration DateOctober 26, 2027

Laboratory DirectorJamal F. Saleh

Laboratory Phone(248) 290-8900

Laboratory LocationLiberty House Outpatient28345 Beck Road Suite 203, Wixom, MI 48393

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Outpatient LLC's NPI number?

The NPI number for Liberty House Outpatient LLC is 1720891914. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Liberty House Outpatient LLC located?

Liberty House Outpatient LLC is located at 28345 Beck Rd Ste 203, Wixom, MI 48393. The listed phone number is (810) 208-0266.

What is Liberty House Outpatient LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Liberty House Outpatient LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2332897) is associated with this NPI, valid through October 26, 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 House Outpatient LLC was last updated on October 17, 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.