LIBERTY ASSISTED LIVING LLC (NPI# 1124218573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124218573 |
| Entity Type | Organization |
| Organization Name | LIBERTY ASSISTED LIVING LLC |
| Other Organization Name | HOME AWAY FROM HOME OF MARYVILLE, INC. |
| Practice Address |
312 Mcmaster Pl Liberty Assisted Living LLC Maryville TN 37801 |
| Practice Telephone | 8659847047 |
| Practice Fax Number | 8659848722 |
| Mailing Telephone | 8659847047 |
| Mailing Fax Number | 8659848722 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. CURTIS SORRELLS (OWNER) |
| Authorized Official Telephone | 8652562797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ========= | TN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Home Away From Home of Maryville, Inc. | Former Legal Business Name - Organization |
| Street Address |
312 MCMASTER PL LIBERTY ASSISTED LIVING LLC |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| 1982799540 | East Tennessee Clinic of Chiropractic | Chiropractor | 133 Cherokee Heights Dr., Maryville, TN 37801 | 2006-10-03 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942407200 | Cambridge House of Maryville | Assisted Living Facility | 6960 State Route 162, Maryville, IL 62062-8532 | 2007-06-29 |
| 1285840520 | Bristol Care, Inc. | Assisted Living Facility | 323 E Summit Dr, Maryville, MO 64468-3619 | 2007-05-15 |
| 1275995623 | Dominion Maryville,llc | Assisted Living Facility | 2317 Us Highway 411 S, Maryville, TN 37801-8634 | 2016-03-24 |
| 1982673844 | The Knoll Clinic | Assisted Living Facility | 2320 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061141 | Morning Pointe Assisted Living | Assisted Living Facility | 324 Mount Bethel Rd, Greeneville, TN 37745-6346 | 2020-10-23 |
| 1467069807 | Goodlettsville Al Mc Care Properties, LLC | Assisted Living Facility | 322 Northcreek Blvd, Goodlettsville, TN 37072-1998 | 2020-09-29 |
| 1417564410 | Lily Healthcare Service | Assisted Living Facility | 4290 Ridgestone Dr Apt 5, Memphis, TN 38128-1837 | 2020-09-24 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1275161200 | Mcclain Properties, LLC | Assisted Living Facility | 1320 Bellshire Terrace Dr, Nashville, TN 37207-1734 | 2020-03-27 |
| 1336779248 | Meadow View Senior Living | Assisted Living Facility | 111 Acuff Ln, Clinton, TN 37716-6892 | 2020-01-20 |
| 1104461383 | Denise Senior Living | Assisted Living Facility | 1016 Charlie Daniels Pkwy, Mt Juliet, TN 37122-3064 | 2019-11-12 |
| 1164070454 | Heritage At S Peters Inc | Assisted Living Facility | 273 S Peters Rd, Knoxville, TN 37923-5204 | 2019-08-29 |
| 1316595085 | Snh Tenn Tenant LLC | Assisted Living Facility | 1010 E Spring St, Cookeville, TN 38501-3651 | 2019-08-27 |
| 1427601327 | Pinnacle Assisted Living | Assisted Living Facility | 10520 Waterville Ln, Knoxville, TN 37932-3754 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.