Liberty Nursing Centers of Mansfield

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1447N Issued in OH

Legal business name

LIBERTY NURSING CENTERS OF MANSFIELD

Practice address

535 Lexington Ave
Mansfield, OH 44907-1502

Phone

(419) 756-7111

Fax

(419) 756-0835

NPI assigned

Aug 1, 2006

Last updated

Aug 22, 2020By 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

Michelle Smollen

Title

Office Manager

Phone

(419) 756-7111

Specialties & licenses 1

Addresses

Tax ID family

Liberty Nursing Center of Mansfield2 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.

• Liberty Nursing Center of Mansfield, Inc.

  dba Woodlawn Health Care and Rehabilitation

  • Pediatric Skilled Nursing Facility
  • Mansfield, OH
  • NPI 1568491694
  NPD tax ID

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083620603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071502",
            "telephone_number": "419-756-7111",
            "fax_number": "419-756-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071502",
            "telephone_number": "419-756-7111",
            "fax_number": "419-756-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY NURSING CENTERS OF MANSFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMOLLEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-756-7111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1447N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lewis, LICDC
• Shanta Rebekka Taylor Lewis
• Tonya Lewis
• Anthony Li, PHARMD
• Liberty Nursing Center of Mansfield, Inc. (Woodlawn Health Care and Rehabilitation)
• Brooks Marie Liederbach, LPN
• Life Steps Inc
• Life Support Team Inc
• Kirsten Lightel, RPH
• Paul Joseph Ligman, MD

• Skilled Nursing Facility in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.