Caregivers Of Liberty I

LBN: Caregivers Of Liberty I
Caregivers Of Liberty I is an health care organization with primary practice located at 121 East Raleigh Ave , Liberty NC 27298-3005. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Caregivers Of Liberty I can be contacted via phone (336) 622-0088, or through Jenkins, Kandice Lackey via phone (336) 622-0088.

Contact Information

Primary practice address
121 East Raleigh Ave Liberty NC 27298-3005
Phone: (336) 622-0088
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Kandice Lackey
Phone: (336) 622-0088

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X FCL076028 North Carolina
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-076-028 North Carolina

Profile Details

NPI number 1073641247
LBN Legal business name Caregivers Of Liberty I
DBA Doing business as
Authorized official Jenkins, Kandice Lackey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073641247 NPPES
North Carolina MEDICAID 7804675
North Carolina Other 7804675

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