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LIBERTY/MATRIX OF OXFORD LLC NPI 1134160963


NPI Information

NPI: 1134160963
Provider Name: LIBERTY/MATRIX OF OXFORD LLC
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
7445 LIBERTY WOODS LN
DAYTON, OH
ZIP 45459
Phone: (937) 296-1550
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LIBERTY/MATRIX OF OXFORD LLC is a nursing care and pediatric skilled nursing facility in Dayton, OH. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. LIBERTY/MATRIX OF OXFORD LLC NPI is 1134160963. The provider is registered as an organization entity type.

The provider's business location address is:

7445 LIBERTY WOODS LN
DAYTON, OH
ZIP 45459-911
Phone: (937) 296-1550
Fax: (937) 296-1540

The provider's authorized official is Linda M Black-kurek .
The authorized official title is President and has the following contact phone number (937) 296-1550.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricOH00725OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12559913MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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