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LIBERTY NURSING CENTER OF ENGLEWOOD INC NPI 1841229986


NPI Information

NPI: 1841229986
Provider Name: LIBERTY NURSING CENTER OF ENGLEWOOD INC
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
425 LAURICELLA CT
CLAYTON, OH
ZIP 45322
Phone: (937) 836-5143
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LIBERTY NURSING CENTER OF ENGLEWOOD INC is a nursing care and pediatric skilled nursing facility in Clayton, 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 ENGLEWOOD INC NPI is 1841229986. The provider is registered as an organization entity type.

The provider's business location address is:

425 LAURICELLA CT
CLAYTON, OH
ZIP 45322-340
Phone: (937) 836-5143
Fax: (937) 836-1799

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 12/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric5842OHIOYes

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
1365088MEDICARE OSCAR/CERTIFICATIONOHIO
22170163MEDICAIDOHIO

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: 4/28/2024

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