Organization Active NPI

Liberty Oaks #2

  • Adult Care Home Facility
  • Asheville, NC
National Provider Identifier
1720108996
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL011095 Issued in NC
Legal business name
LIBERTY OAKS #2
Practice address
123 Florida Ave
Asheville, NC 28806-3528
Phone
(828) 281-2875
Fax
(828) 281-2876
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Ms. Janet Palmer
Title
Administrator
Phone
(828) 281-2875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL011095 NC Primary

Addresses

Primary practice location

123 Florida Ave
Asheville, NC 28806-3528

Mailing address

PO Box 16792
Asheville, NC 28816-0792
Phone (828) 281-2875

Other identifiers 1

IdentifierTypeStateIssuer
7803584MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Liberty Oaks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1720108996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16792",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288160792",
            "telephone_number": "828-281-2875",
            "fax_number": "828-281-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FLORIDA AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063528",
            "telephone_number": "828-281-2875",
            "fax_number": "828-281-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY OAKS #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-281-2875",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL011095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803584",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.