Organization Active NPI

Liberty Living Inc

  • Adult Care Home Facility
  • Bay City, MI
National Provider Identifier
1053535005
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LIBERTY LIVING INC
Practice address
407 Lafayette Ave
Bay City, MI 48708-7851
Phone
(989) 892-0247
Fax
(989) 892-0906
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Cindy M Whaley
Title
Administrator
Phone
(989) 892-0247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

407 Lafayette Ave
Bay City, MI 48708-7851

Mailing address

PO Box 1273
Bay City, MI 48706-0273
Phone (989) 892-0247

National Provider Directory

National Provider Directory

Locations

407 Lafayette Ave
Bay City, MI 48708
Phone (517) 892-4586

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1053535005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1273",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487060273",
            "telephone_number": "989-892-0247",
            "fax_number": "989-892-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LAFAYETTE AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087851",
            "telephone_number": "989-892-0247",
            "fax_number": "989-892-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-892-0247"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.