NPIMap

Organization Active NPI

Liberty Independent Living

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1508286436
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIBERTY INDEPENDENT LIVING
Practice address
9131 Eventine CT
Charlotte, NC 28214-9323
Phone
(704) 904-4894
NPI assigned
Apr 18, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Ms. Wilhelmina Frierson
Title
Owner
Phone
(704) 904-4894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

9131 Eventine CT
Charlotte, NC 28214-9323

Mailing address

9131 Eventine CT
Charlotte, NC 28214-9323
Phone (704) 904-4894

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1508286436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 EVENTINE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282149323",
            "telephone_number": "704-904-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 EVENTINE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282149323",
            "telephone_number": "704-904-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "FRIERSON",
        "authorized_official_first_name": "WILHELMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-904-4894",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.