Liberty Royal Rehabilitation and Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061310 Issued in NJ

Legal business name

LIBERTY ROYAL REHABILITATION AND HEALTHCARE CENTER LLC

Practice address

524 Wardell Rd
Tinton Falls, NJ 07753-7305

Phone

(732) 922-9330

Fax

(732) 922-1043

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Moshe Frost

Title

Controller

Phone

(732) 364-2672

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Liberty Royal Rehabilitation and Healthcare Center Doing business as

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1356440374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 WARDELL RD",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 WARDELL RD",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537305",
            "telephone_number": "732-922-9330",
            "fax_number": "732-922-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ROYAL REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-364-2672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4488105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Royal Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Lee, BCBA
• Debra Lemasters-Parzel, APN
• Georae Elene Letizia, LPC
• Mason Lewis, EMT
• Sara Lewis
• Brittany Librie
• Rhonda Lichtman, PAC
• Sarah Jane Lienesch, PT, DPT
• Little Teeth Detective Tinton Falls LLC
• Living Well Counseling Center LLC

• Skilled Nursing Facility in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.