LIBERTY HOUSE RECOVERY, LLC
NPI 1861145823
Substance Abuse Rehabilitation Facility in Redlands, CA
About Liberty House Recovery, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY HOUSE RECOVERY, LLC (NPI 1861145823) is a healthcare organization registered as a substance abuse rehabilitation facility in Redlands, California and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Lacey Leigh Ursich, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2273472
Liberty House Recovery · Redlands, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
REDLANDS, CA 92374
REDLANDS, CA 92374
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, LLC's NPI number?
The NPI number for Liberty House Recovery, LLC is 1861145823. It was assigned to this organization in the NPPES registry on January 31, 2022.
Where is Liberty House Recovery, LLC located?
Liberty House Recovery, LLC is located at 710 The Ter, Redlands, CA 92374. The listed phone number is (909) 754-1712.
What is Liberty House Recovery, LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Liberty House Recovery, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2273472) is associated with this NPI, valid through December 13, 2026. 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 Recovery, LLC was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Liberty House Recovery, Llc · NPI 1861145823
Substance Abuse Rehabilitation Facility organization in Redlands, California. Organization record, active in the CMS NPPES registry since January 31, 2022.
## Identity
- **NPI:** 1861145823 (Entity type: Organization)
- **Enumerated:** January 31, 2022
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Lacey Ursich, CEO
## Practice location
- **Address:** 710 THE TER, Redlands, CA 92374-4465
- **Phone:** (909) 754-1712
## Record status
- **NPPES last updated:** March 16, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861145823) · Data from the CMS NPPES public registry.