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LIBERTY CORNER ENTERPRISES INC NPI 1790821288


NPI Information

NPI: 1790821288
Provider Name: LIBERTY CORNER ENTERPRISES, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
119 TUNNEL RD STE 120
ASHEVILLE, NC
ZIP 28805
Phone: (828) 254-9917
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LIBERTY CORNER ENTERPRISES, INC is a community behavioral health in Asheville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIBERTY CORNER ENTERPRISES, INC NPI is 1790821288. The provider is registered as an organization entity type.

The provider's business location address is:

119 TUNNEL RD STE 120
ASHEVILLE, NC
ZIP 28805-869
Phone: (828) 254-9917
Fax: (828) 251-5373

The provider's authorized official is Greta Byrd .
The authorized official title is Executive Director and has the following contact phone number (828) 254-9917.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 2/1/2021.


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
1251B00000XCase ManagementMHL011005NORTH CAROLINANo
2251C00000XDay Training, Developmentally Disabled ServicesMHL011005NORTH CAROLINANo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL011005NORTH CAROLINANo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL011005NORTH CAROLINANo
5332B00000XDurable Medical Equipment & Medical SuppliesMHL011005NORTH CAROLINANo
6251S00000XCommunity/Behavioral HealthMHL011005NORTH CAROLINAYes

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
15950430MEDICAIDNORTH CAROLINA
23408614MEDICAIDNORTH CAROLINA
38301154MEDICAIDNORTH CAROLINA
47804737MEDICAIDNORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.