LIBERTY ASSISTED LIVING NPI 1366603243

NPI Information

  • NPI: 1366603243
  • Provider Name: LIBERTY ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 5890 CYPRESS GARDENS BLVD
    WINTER HAVEN, FL
    ZIP 33884
  • Phone: (863) 324-7300

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NPI Details

LIBERTY ASSISTED LIVING is an assisted living facility in Winter Haven, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LIBERTY ASSISTED LIVING NPI is 1366603243. The provider is registered as an organization entity type.

The provider's business location address is:

5890 CYPRESS GARDENS BLVD
WINTER HAVEN, FL
ZIP 33884-274
Phone: (863) 324-7300
Fax: (863) 324-6231

The provider's authorized official is Keena Parsons .
The authorized official title is Administrator and has the following contact phone number (863) 324-7300.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 6/23/2008.

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
1310400000XAssisted Living FacilityAL7713FLORIDAYes

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
1673114700MEDICAIDFLORIDA

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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