Liberty Healthcare MGT, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIBERTY HEALTHCARE MGT, LLC

Practice address

1301 Bloom Rd
Danville, PA 17821-6532

Phone

(570) 284-4343

Fax

(570) 271-3741

NPI assigned

Dec 19, 2017

Last updated

Dec 19, 2017By 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

David W Klingerman Jr.

Title

Managing Member

Phone

(570) 204-8787

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1083120653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BLOOM RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178216532",
            "telephone_number": "570-284-4343",
            "fax_number": "570-271-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BLOOM RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178216532",
            "telephone_number": "570-284-4343",
            "fax_number": "570-271-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE MGT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "KLINGERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "570-204-8787",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LHCG Cxli, LLC (Geisinger Home Health)
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• Jinhong Li, MD
• Liping Li, MD,PHD
• Ruihan Li, RD, RDN
• Andrew Lichliter, MD
• Kathryn Ann Lidard Kole, CRNP, RN
• Evan Matthew Liddington
• Steven A Lietman, MD
• Michelle Ann Ligotski, RPH

• Skilled Nursing Facility in Danville, PA
• Providers in Danville, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.