Liberty Nursing Center of Riverside, LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

NH-014659-NH Issued in OH

Legal business name

LIBERTY NURSING CENTER OF RIVERSIDE, LLC

Practice address

315 Lilienthal St
Cincinnati, OH 45204-1170

Phone

(513) 471-8667

Fax

(513) 557-3629

NPI assigned

Aug 5, 2006

Last updated

Jan 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Black-Kurek

Title

President

Phone

(973) 296-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1407865884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 LIBERTY WOODS LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593911",
            "telephone_number": "937-296-1550",
            "fax_number": "937-296-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LILIENTHAL ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452041170",
            "telephone_number": "513-471-8667",
            "fax_number": "513-557-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY NURSING CENTER OF RIVERSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "BLACK-KUREK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-296-1550"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "NH-014659-NH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2553928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis P. Libengood, D.C.
• Judith Liberman
• Liberty Dental Associates
• Liberty Forest Fair, LLC (Liberty Forest Fair)
• Liberty Nursing Center of Colerain Inc
• Liberty Nursing Center of Riverview, Inc
• Liberty Nursing Center of Three Rivers Inc
• Liberty Sharonville Pediatrics
• Ashleigh Libs
• Haley Elizabeth Libs

• Pediatric Skilled Nursing Facility in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatric Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.