Liberty Ridge Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LIBERTY RIDGE OPCO, LLC

Practice address

7200 Heritagespring Dr
West Chester, OH 45069-6524

Phone

(513) 342-8889

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Bradley Williamson

Title

Senior Vice President-Treasurer

Phone

(502) 412-5847

Specialties & licenses 1

Addresses

Other names 1

• The Legacy at Liberty Ridge Doing business as

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1376100198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521648",
            "telephone_number": "502-412-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HERITAGESPRING DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696524",
            "telephone_number": "513-342-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RIDGE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT-TREASURER",
        "authorized_official_telephone_number": "502-412-5847"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Legacy at Liberty Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tarah Lewis
• Christopher Leytem, PT
• Liberty Family Medicine LLC
• Liberty Home Care
• Liberty Infusion Therapy, LLC
• Linda McMurray
• Joseph Paul Lindeman, D.C
• Sean Lindsey
• Maria Lingardo
• Ethan Little

• Assisted Living Facility in West Chester, OH
• Providers in West Chester, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.