Liberty Villas of Lima Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LIBERTY VILLAS OF LIMA INC

Practice address

2440 Baton Rouge
Lima, OH 45805-5104

Phone

(937) 296-1550

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Bruce T Carpenter, CPA

Title

Vice President

Phone

(937) 296-1550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1588199020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 W FRANKLIN ST",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453051551",
            "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": "2440 BATON ROUGE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458055104",
            "telephone_number": "937-296-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY VILLAS OF LIMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "937-296-1550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Abigail Lewis
• Sonda Marie Lewis, RN
• Liliana Liberato
• Liberty Home Health Services Inc
• Liberty Retirement Community of Lima Inc
• William O Light, MD
• Alexandre Lightfoot, MD
• Jade Lightfoot, RN, CNP
• Lighthouse Behavioral Health Services, LLC
• Lighthouse Recovery Services LLC

• Assisted Living Facility in Lima, OH
• Providers in Lima, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.