MEDICARE: LIBERTY LIVING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1437002797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBERTY LIVING LLC

Provider Business Mailing Address
First Line	:	12611 AMBOY AVE
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-3606
Country	:	US
Telephone Number	:	818-284-8485
Fax Number	:

Provider Business Practice Location Address
First Line	:	12611 AMBOY AVE
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-3606
Country	:	US
Telephone Number	:	818-284-8485
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MAGGIE BALYAN
Credential	:
Telephone Number	:	818-284-8485

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “LIBERTY LIVING LLC ” Practice Location

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