Organization Active NPI

Liberty Assisted Living LLC

  • Assisted Living Facility
  • Maryville, TN
National Provider Identifier
1124218573
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LIBERTY ASSISTED LIVING LLC
Practice address
312 McMaster PL
Liberty Assisted Living LLC
Maryville, TN 37801
Phone
(865) 984-7047
Fax
(865) 984-8722
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Curtis Sorrells
Title
Owner
Phone
(865) 256-2797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X TN Primary

Addresses

Primary practice location

312 McMaster PL
Liberty Assisted Living LLC
Maryville, TN 37801

Mailing address

312 McMaster PL
Liberty Assisted Living LLC
Maryville, TN 37801
Phone (865) 984-7047

Other names 1

  • Home Away From Home of Maryville, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124218573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MCMASTER PL",
            "address_2": "LIBERTY ASSISTED LIVING LLC",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37801",
            "telephone_number": "865-984-7047",
            "fax_number": "865-984-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MCMASTER PL",
            "address_2": "LIBERTY ASSISTED LIVING LLC",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37801",
            "telephone_number": "865-984-7047",
            "fax_number": "865-984-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SORRELLS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-256-2797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Away From Home of Maryville, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.