THE LIBERTY RANCH REHABILITATION CENTER (NPI# 1710426960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710426960 |
| Entity Type | Organization |
| Organization Name | THE LIBERTY RANCH REHABILITATION CENTER |
| Practice Address |
2735 Ky Highway 501 Kings Mountain KY 40442-9761 |
| Practice Telephone | 6067870424 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | LARRY LUTTRELL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6067870424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
2735 KY HIGHWAY 501 |
| City | KINGS MOUNTAIN |
| State | KY |
| Zip Code | 40442-9761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053437269 | Teri Benge Mcqueen | Speech-Language Pathologist | 4816 N Ky 501, Kings Mountain, KY 40442-8937 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651696 | Burris Family Paying It Forward LLC | Home Health | 413 N Piedmont Ave, Kings Mountain, NC 28086-2440 | 2020-08-26 |
| 1366050791 | Rachael Jan Cecka | Student in an Organized Health Care Education/Training Program | 610 Hillside Dr, Kings Mountain, NC 28086-3219 | 2020-07-22 |
| 1730708215 | Trucore Laboratories, LLC | Clinical Medical Laboratory | 608 W King St Ste 2, Kings Mountain, NC 28086-3358 | 2020-04-14 |
| 1316570252 | Faithful Hands Home Care Services Inc | Respite Care | 318 E Gold St Ste 2, Kings Mountain, NC 28086-3436 | 2020-02-19 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1881243210 | Judy Harmon | Technician | 406 Downing Dr, Kings Mountain, NC 28086-2608 | 2019-09-09 |
| 1114486131 | Jennifer Jones Hickman | Chiropractor | 145 Dunes Dr, Kings Mountain, NC 28086-9400 | 2019-03-19 |
| 1609331750 | Patricia Simone Mcintyre | Counselor | 313 Marcella Dr, Kings Mountain, NC 28086-9251 | 2019-02-03 |
| 1295226975 | Byram Healthcare Centers, Inc | Durable Medical Equipment & Medical Supplies | 202 Commerce Blvd Ste 101, Kings Mountain, NC 28086-8905 | 2018-05-29 |
| 1558804468 | Samantha's House Inc. | Substance Abuse Rehabilitation Facility | 5412 Creek Run Ct, Kings Mountain, NC 28086-8490 | 2016-11-24 |
| Find all providers in KINGS MOUNTAIN | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447858642 | Salem Health Care Group LLC | Clinic/Center | 501 North Hayden Avenue, Salem, KY 42028 | 2020-10-12 |
| 1053934836 | Roaring Brook LLC | Clinic/Center | 600 Perimeter Dr Ste 125, Lexington, KY 40517-4296 | 2020-05-27 |
| 1902442585 | Lake Cumberland Recovery, Inc | Clinic/Center | 8294 S Highway 27, Burnside, KY 42519-9412 | 2019-11-19 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1194295089 | Freedom Bridge To Recovery LLC | Clinic/Center | 1307 Magnolia St, Bowling Green, KY 42104-3050 | 2018-12-04 |
| 1619450186 | Pax House Inc. | Clinic/Center | 2305 Hurstbourne Village Dr Ste 600, Louisville, KY 40299-2875 | 2018-09-11 |
| 1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
| 1144723453 | Rose of Sharon House | Clinic/Center | 865 W Shelby St, Junction City, KY 40440-8502 | 2018-03-13 |
| 1477062487 | New Legacy Recovery LLC | Clinic/Center | 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 | 2017-09-21 |
| 1114389822 | Pinnacle Treatment Centers Ky-i, LLC | Clinic/Center | 100 E Broadway # 105-107, Mayfield, KY 42066-2329 | 2016-03-22 |
| Find all providers with the same taxonomy | ||||
| City | KINGS MOUNTAIN |
| Zip Code | 40442 |
Please comment or provide details below to improve the information on THE LIBERTY RANCH REHABILITATION CENTER.
| 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.