LIBERTY PINE RECOVERY LLC
NPI 1932991049
Substance Abuse Rehabilitation Facility in Malvern, PA
About Liberty Pine Recovery Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY PINE RECOVERY LLC (NPI 1932991049), doing business as Lifeline Recovery And Wellness, is a healthcare organization registered as a substance abuse rehabilitation facility in Malvern, Pennsylvania and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Robert Whedon, Member/partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 39D2331217
Liberty Pine Recovery LLC · Malvern, PAFrequently 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 Pine Recovery LLC's NPI number?
The NPI number for Liberty Pine Recovery LLC is 1932991049. It was assigned to this organization in the NPPES registry on May 22, 2025. The provider is doing business as Lifeline Recovery and Wellness.
Where is Liberty Pine Recovery LLC located?
Liberty Pine Recovery LLC is located at 255 Great Valley Pkwy Ste 200, Malvern, PA 19355. The listed phone number is (856) 693-3007.
What is Liberty Pine Recovery LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Liberty Pine Recovery LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2331217) is associated with this NPI, valid through September 28, 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 Pine Recovery LLC was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Liberty Pine Recovery Llc · NPI 1932991049
Substance Abuse Rehabilitation Facility organization in Malvern, Pennsylvania. Organization record, active in the CMS NPPES registry since May 22, 2025.
## Identity
- **NPI:** 1932991049 (Entity type: Organization)
- **Enumerated:** May 22, 2025
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Also known as:** Lifeline Recovery and Wellness (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Robert Whedon, MEMBER/PARTNER
## Practice location
- **Address:** 255 GREAT VALLEY PKWY STE 200, Malvern, PA 19355-1300
- **Phone:** (856) 693-3007
## Record status
- **NPPES last updated:** May 22, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932991049) · Data from the CMS NPPES public registry.