LIBERTY NURSING CENTER OF RIVERSIDE LLC NPI 1407865884

NPI Information

NPI: 1407865884
Provider Name: LIBERTY NURSING CENTER OF RIVERSIDE, LLC
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
315 LILIENTHAL ST
CINCINNATI, OH
ZIP 45204
Phone: (513) 471-8667
Get Directions

LIBERTY NURSING CENTER OF RIVERSIDE, LLC is a nursing care and pediatric skilled nursing facility in Cincinnati, 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 NURSING CENTER OF RIVERSIDE, LLC NPI is 1407865884. The provider is registered as an organization entity type.

The provider's business location address is:

315 LILIENTHAL ST
CINCINNATI, OH
ZIP 45204-170
Phone: (513) 471-8667
Fax: (513) 557-3629

The provider's authorized official is Linda Black-kurek .
The authorized official title is President and has the following contact phone number (973) 296-1550.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 1/10/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	NH-014659-NH	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2553928	MEDICAID	OHIO
2	365925	MEDICARE OSCAR/CERTIFICATION	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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