Organization Active NPI

Clay County Assisted Living

Doing business as Liberty Place Assisted Living

  • Assisted Living Facility
  • Clay Center, KS
National Provider Identifier
1043067044
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CLAY COUNTY ASSISTED LIVING
Doing business as
Liberty Place Assisted Living
Practice address
722 Liberty St
Clay Center, KS 67432-1575
Phone
(785) 632-5052
Fax
(785) 632-5175
NPI assigned
May 6, 2024
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Cindy Lou Habluetzel
Title
Director
Phone
(785) 632-5052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

722 Liberty St
Clay Center, KS 67432-1575

Mailing address

722 Liberty St
Clay Center, KS 67432-1575
Phone (785) 632-5052

Other names 1

  • Liberty Place Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1079078Liberty Place Assisted Living722 Liberty Street, Clay Center, KS 67432Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1043067044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 LIBERTY ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674321575",
            "telephone_number": "785-632-5052",
            "fax_number": "785-632-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 LIBERTY ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674321575",
            "telephone_number": "785-632-5052",
            "fax_number": "785-632-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "HABLUETZEL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-632-5052"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clay Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.