Caregivers of Liberty I

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL076028 Issued in NC

Legal business name

CAREGIVERS OF LIBERTY I

Practice address

121 East Raleigh Ave
Liberty, NC 27298-3005

Phone

(336) 622-0088

NPI assigned

Mar 1, 2007

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kandice Lackey Jenkins

Title

Owner

Phone

(336) 622-0088

Specialties & licenses 2

Addresses

Tax ID family

Caregivers of Liberty II2 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.

• Caregivers of Liberty II

  • Assisted Living Facility
  • Liberty, NC
  • NPI 1821306580
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Caregivers of Liberty II

  • Assisted Living Facility
  • Liberty, NC
  • NPI 1821306580
  NPPES parent name

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1073641247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EAST RALEIGH AVE",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272983005",
            "telephone_number": "336-622-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EAST RALEIGH AVE",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272983005",
            "telephone_number": "336-622-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVERS OF LIBERTY I",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_middle_name": "LACKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-622-0088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL076028",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-076-028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Leon Blake, D.C.
• Jonathan Breazeale, DMD
• Brittany Sundblom
• Ellen Kaye Brown
• Thomas Edgar Butler Jr., DDS
• Caregivers of Liberty II
• Carol Lee Family Care Home
• Cawh Rehabilitation Services, LLC. (Cawh Physical Therapy)
• Janice Lanette Christenbury
• Community Innovations Inc

• Assisted Living Facility in Liberty, NC
• Providers in Liberty, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.