LIBERTY NURSING CENTER OF JAMESTOWN NPI 1104855220

NPI Information

  • NPI: 1104855220
  • Provider Name: LIBERTY NURSING CENTER OF JAMESTOWN
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Address: 4960 OLD US ROUTE 35 E
    JAMESTOWN, OH
    ZIP 45335
  • Phone: (937) 675-3311

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NPI Details

LIBERTY NURSING CENTER OF JAMESTOWN is a nursing care and pediatric skilled nursing facility in Jamestown, 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 JAMESTOWN NPI is 1104855220. The provider is registered as an organization entity type.

The provider's business location address is:

4960 OLD US ROUTE 35 E
JAMESTOWN, OH
ZIP 45335-712
Phone: (937) 675-3311
Fax: (937) 675-2333

The provider's authorized official is Linda 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 7/1/2006 and was last updated on 1/22/2008.

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
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric6012OHIOYes

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
1365368MEDICARE OSCAR/CERTIFICATIONOHIO
22244904MEDICAIDOHIO

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: 3/30/2025

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