LIBERTY CORNER ENTERPRISES INC. NPI 1982089553

NPI Information

NPI: 1982089553
Provider Name: LIBERTY CORNER ENTERPRISES, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
30 ARLINGTON EXTENSION
BRYSON CITY, NC
ZIP 28713
Phone: (828) 488-0292
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LIBERTY CORNER ENTERPRISES, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Bryson City, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. LIBERTY CORNER ENTERPRISES, INC. NPI is 1982089553. The provider is registered as an organization entity type.

The provider's business location address is:

30 ARLINGTON EXTENSION
BRYSON CITY, NC
ZIP 28713
Phone: (828) 488-0292

The provider's authorized official is Julie Crosson .
The authorized official title is Bookkeeper and has the following contact phone number (828) 254-9917.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 7/24/2015.

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	Primary
1	251B00000X	Case Management	No
2	251C00000X	Day Training, Developmentally Disabled Services	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
4	332B00000X	Durable Medical Equipment & Medical Supplies	No
5	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	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
1	7804737	MEDICAID	NORTH CAROLINA
2	3408614	MEDICAID	NORTH CAROLINA
3	5950430	MEDICAID	NORTH CAROLINA
4	8301154	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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