LP LIBERTY, LLC (NPI# 1992145650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992145650 |
| Entity Type | Organization |
| Organization Name | LP LIBERTY, LLC |
| Other Organization Name | LIBERTY CARE & REHABILITATION CENTER |
| Practice Address |
616 S Wallace Wilkinson Blvd Liberty KY 42539-3344 |
| Practice Telephone | 6067876889 |
| Practice Fax Number | 6067876891 |
| Mailing Telephone | 6067876889 |
| Mailing Fax Number | 6067876891 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | JOHN H HARRISON (CFO) |
| Authorized Official Telephone | 5025687800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Liberty Care & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
616 S WALLACE WILKINSON BLVD |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982866802 | Jan-doreen Williamson | Skilled Nursing Facility | 616 S Wallace Wilkinson Blvd, Liberty, KY 42539-3344 | 2008-07-01 |
| 1558842690 | Ashley E Cambron | Occupational Therapy Assistant | 616 S Wallace Wilkinson Blvd, Liberty, KY 42539-3344 | 2018-08-27 |
| 1497990832 | David Young | Skilled Nursing Facility | 616 S Wallace Wilkinson Blvd, Liberty, KY 42539-3344 | 2008-12-15 |
| 1619131349 | Aleta Cannon | Skilled Nursing Facility | 616 S Wallace Wilkinson Blvd, Liberty, KY 42539-3344 | 2008-07-11 |
| 1982866893 | Dawn Renee Stotts | Skilled Nursing Facility | 616 S Wallace Wilkinson Blvd, Liberty, KY 42539-3344 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1144769563 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-02-17 |
| 1699922559 | Ronda May | Skilled Nursing Facility | 228 Casey Dr, Liberty, KY 42539-3229 | 2008-08-22 |
| 1558518506 | Sherry Wesley IIi | Skilled Nursing Facility | 2757 Canoe Creek Rd, Liberty, KY 42539-6127 | 2008-08-21 |
| 1982866802 | Jan-doreen Williamson | Skilled Nursing Facility | 616 S Wallace Wilkinson Blvd, Liberty, KY 42539-3344 | 2008-07-01 |
| 1295830776 | Pleasant Valley Manor Inc | Skilled Nursing Facility | 6814 Sobbie Road, Liberty, MO 64068 | 2006-09-13 |
| 1548362395 | Hsmtx/liberty, LLC | Skilled Nursing Facility | 1206 N Travis St, Liberty, TX 77575 | 2006-09-02 |
| 1699722876 | Ashton Court Healthcare LLC | Skilled Nursing Facility | 1200 W College St, Liberty, MO 64068-1036 | 2006-05-31 |
| 1861458036 | Wmop LLC | Skilled Nursing Facility | 170 Lake St, Liberty, NY 12754-1966 | 2006-04-25 |
| 1912997685 | Clc of Liberty, LLC | Skilled Nursing Facility | 323 Industrial Park, Liberty, MS 39645-8069 | 2005-10-25 |
| Find all providers in LIBERTY | ||||
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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.