Liberty Residential Care Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LIBERTY RESIDENTIAL CARE SERVICES

Practice address

2878 Ravenswood CT
Columbus, OH 43232-3830

Phone

(614) 843-1696

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael L Payne

Title

Owner/Director

Phone

(614) 843-1696

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1407234487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 RAVENSWOOD CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323830",
            "telephone_number": "614-843-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 RAVENSWOOD CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323830",
            "telephone_number": "614-843-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RESIDENTIAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "614-843-1696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Home Health
• Liberty Home Health Care of Ohio, Inc
• Liberty Home Health Care of Ohio, LLC
• Liberty Home Health Care of Ohio, LLC
• Liberty Homes Ohio
• Liberty United Transportation LLC
• Kevin Libster
• Maranda Libster
• Kristin Theresa Lichnowski, MS, PA-C
• Ellie Lichtenberg

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.