Liberty Retirement Community of Middletown Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1820N Issued in OH

Legal business name

LIBERTY RETIREMENT COMMUNITY OF MIDDLETOWN INC

Practice address

4400 Vannest Ave
Middletown, OH 45042-2770

Phone

(513) 422-5600

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By 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

(937) 296-1550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578691341",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 VANNEST AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450422770",
            "telephone_number": "513-422-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RETIREMENT COMMUNITY OF MIDDLETOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK-KUREK",
        "authorized_official_first_name": "LINDA",
        "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": "1820N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Levan, APRN
• Samantha Lewis-Gilbert
• Jorden Lewis
• Julia Lewis
• Mary Lynn Ley Bolden
• Courtney Marie Ligotino
• Manju Likki, M.D
• Lincare Inc (Adult & Pediatric Specialists)
• Linda Markstein PT LLC
• Kristie Lynn Lindon, RN

• Skilled Nursing Facility in Middletown, OH
• Providers in Middletown, 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 Aug 22, 2020; 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.