Active NPI
Liberty Point Behavioral Healthcare
- Psychiatric Residential Treatment Facility
- Staunton, VA
National Provider Identifier
1396032116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- 78014001
- Legal business name
- LIBERTY POINT BEHAVIORAL HEALTHCARE
- Practice address
- 1110 Montgomery Ave
Staunton, VA 24401-3968 - Phone
- (615) 250-0283
- Fax
- (615) 250-1000
- NPI assigned
- Jun 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Tench, BOD
- Title
- Business Office Director, Brentwood
- Phone
- (615) 250-0283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 78014001 | VA | Primary |
Addresses
Primary practice location
1110 Montgomery Ave
Staunton, VA 24401-3968
Mailing address
110 Westwood PL
Suite 100
Brentwood, TN 37027-5075
Phone (615) 250-0283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010135435 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Psychiatric residential treatment facility certification: CCN 49L028
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LIBERTY POINT BEHAVIORAL HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Psychiatric residential treatment facility
- Participating since
- Feb 2, 2014
- Last certification
- Mar 6, 2024
- Beds
- 42
- Ownership / control type
- Non-profit – corporation
- Facility address
- 1110 Montgomery Avenue
Staunton, VA 24401
National Provider Directory
National Provider Directory- Tax ID family
- Liberty Point Behavioral Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- Staunton, VA
- NPI 1659333045
Locations
110 Westwood Pl
Ste 100
Brentwood, TN 37027
Phone (615) 250-0283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309392000000",
"number": "1396032116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WESTWOOD PL",
"address_2": "SUITE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275075",
"telephone_number": "615-250-0283",
"fax_number": "615-250-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 MONTGOMERY AVE",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244013968",
"telephone_number": "615-250-0283",
"fax_number": "615-250-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY POINT BEHAVIORAL HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A",
"authorized_official_last_name": "TENCH",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR, BRENTWOOD",
"authorized_official_telephone_number": "615-250-0283",
"authorized_official_credential": "BOD"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "VA",
"license": "78014001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010135435",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.