Liberty Nursing Center of Wheelersburg Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1664 Issued in OH

Legal business name

LIBERTY NURSING CENTER OF WHEELERSBURG INC

Practice address

1242 Crescent Dr
Wheelersburg, OH 45694-9376

Phone

(937) 296-1550

Fax

(740) 574-9511

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Linda M Black-Kurek

Title

President

Phone

(937) 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": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1528249174",
    "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": "1242 CRESCENT DR",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456949376",
            "telephone_number": "937-296-1550",
            "fax_number": "740-574-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY NURSING CENTER OF WHEELERSBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BLACK-KUREK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-296-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784732",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Lawson
• Madison Leffingwell
• Joseph R. Leith, MD
• Ronald Lee Lennox
• Brandi Lewis
• Mariea Lynn Lindamood
• Connie Lou Lindley, SLP
• Darren W. Lore, RPH
• Samantha Lore, APRN, CNP
• Lucasville Physical Therapy LP (Direct Care Physical Therapy)

• Skilled Nursing Facility in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.