CAREGIVERS OF LIBERTY II NPI 1821306580

NPI Information

NPI: 1821306580
Provider Name: CAREGIVERS OF LIBERTY II
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
125 E RALEIGH AVE
LIBERTY, NC
ZIP 27298
Phone: (336) 622-2348
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CAREGIVERS OF LIBERTY II is an assisted living facility in Liberty, NC. 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. CAREGIVERS OF LIBERTY II NPI is 1821306580. The provider is registered as an organization entity type.

The provider's business location address is:

125 E RALEIGH AVE
LIBERTY, NC
ZIP 27298-305
Phone: (336) 622-2348

The provider's authorized official is Ernest Ishmeal Lackey .
The authorized official title is Financial Manager and has the following contact phone number (336) 622-2348.

The enumeration date for this NPI number is 9/15/2010 and was last updated on 9/15/2010.

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	310400000X	Assisted Living Facility		FCL-076-033	NORTH CAROLINA	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	7804676	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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