Active NPI
Liberty Oaks #2
- Adult Care Home Facility
- Asheville, NC
National Provider Identifier
1720108996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL011095
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803584 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Liberty Oaks
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Asheville, NC
- NPI 1942320726
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.