NPIMap

Organization Active NPI

West Liberty Care Center Inc

  • Adult Day Care Clinic/Center
  • West Liberty, OH
National Provider Identifier
1669226775
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WEST LIBERTY CARE CENTER INC
Practice address
6557 US Highway 68 S
West Liberty, OH 43357-9536
Phone
(937) 465-5065
NPI assigned
Apr 15, 2024
Organization subpart
Yes
Parent organization
WEST LIBERTY CARE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Karlissa Ziraldo
Title
Administrator
Phone
(937) 309-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

6557 US Highway 68 S
West Liberty, OH 43357-9536

Mailing address

6557 US Highway 68 S
West Liberty, OH 43357-9536

Other identifiers 1

IdentifierTypeStateIssuer
0831667MedicaidOH

Other names 1

  • Green Hills Center - Daybreak Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Liberty Care Center Inc5 organizations share this tax ID, including this one
Part of
West Liberty Care Center Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1669226775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 US HIGHWAY 68 S",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 US HIGHWAY 68 S",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579536",
            "telephone_number": "937-465-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LIBERTY CARE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST LIBERTY CARE CENTER INC",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "ZIRALDO",
        "authorized_official_first_name": "KARLISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-309-5867"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0831667",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Hills Center - Daybreak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Liberty, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.