NPIMap

Organization Active NPI

Liberty Place Inc

  • Assisted Living Facility
  • Whitehall, MT
National Provider Identifier
1033508080
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
13018 Issued in MT
Legal business name
LIBERTY PLACE INC
Practice address
313 W Legion St
Whitehall, MT 59759-7762
Phone
(406) 287-9887
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ann Geiger
Title
Executive Administrator
Phone
(406) 287-9887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 13018 MT Primary

Addresses

Primary practice location

313 W Legion St
Whitehall, MT 59759-7762

Mailing address

PO Box 446
Whitehall, MT 59759-0446
Phone (406) 287-9887

Other identifiers 1

IdentifierTypeStateIssuer
012154MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Liberty Place Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1033508080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597590446",
            "telephone_number": "406-287-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LEGION ST",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597597762",
            "telephone_number": "406-287-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "GEIGER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "406-287-9887"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "13018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012154",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.