Active NPI
Chambersburg Health Care LLC
- Skilled Nursing Facility
- Liberty, MO
National Provider Identifier
1477917896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CHAMBERSBURG HEALTH CARE LLC
- Practice address
- 2201 Glenn Hendren Dr
Liberty, MO 64068-3375 - Phone
- (816) 736-8800
- NPI assigned
- Apr 12, 2016
- 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
- Brian Hackerott
- Title
- President
- Phone
- (816) 736-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2201 Glenn Hendren Dr
Liberty, MO 64068-3375
Mailing address
2201 Glenn Hendren Dr
Liberty, MO 64068-3375
Phone (816) 736-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477917896 | Medicaid | MO |
Other names 1
- Liberty Health and Wellness
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473811200000",
"number": "1477917896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 GLENN HENDREN DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683375",
"telephone_number": "816-736-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 GLENN HENDREN DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683375",
"telephone_number": "816-736-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMBERSBURG HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-12",
"last_updated": "2016-09-14",
"status": "A",
"authorized_official_last_name": "HACKEROTT",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-736-8800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477917896",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Liberty Health and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.