Organization Active NPI

Liberty Rehabilitation Center

Doing business as LRC

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1578217816
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIBERTY REHABILITATION CENTER
Doing business as
LRC
Practice address
749 Tate Ave
Memphis, TN 38126-3616
Phone
(901) 691-6950
NPI assigned
Feb 7, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Andrew Terry
Title
Founder
Phone
(901) 598-5610

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Adult Day Care Clinic/Center 261QA0600X
Community Health Clinic/Center 261QC1500X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Rehabilitation Clinic/Center 261QR0400X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Rural Health Clinic/Center 261QR1300X
Mental Illness Community Based Residential Treatment Facility 320800000X
Community/Behavioral Health Agency 251S00000X Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

749 Tate Ave
Memphis, TN 38126-3616

Mailing address

749 Tate Ave
Memphis, TN 38126-3616
Phone (901) 691-6950

Other names 1

  • LRC Doing business as

National Provider Directory

National Provider Directory

Locations

749 Tate Ave
Memphis, TN 38126
Phone (901) 691-6950

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1578217816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 TATE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381263616",
            "telephone_number": "901-691-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 TATE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381263616",
            "telephone_number": "901-691-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "901-598-5610"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LRC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.