Organization Active NPI

Liberty Homes Ohio

  • Religious Nonmedical Health Care Institution
  • Columbus, OH
National Provider Identifier
1851016687
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
Legal business name
LIBERTY HOMES OHIO
Practice address
4758 Echorock Dr
Columbus, OH 43231-5957
Phone
(614) 218-8070
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Mr. Durrell Waji, MR.
Title
Ceo
Phone
(614) 218-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Health Care Institution 282J00000X Primary

Addresses

Primary practice location

4758 Echorock Dr
Columbus, OH 43231-5957

Mailing address

4758 Echorock Dr
Columbus, OH 43231-5957
Phone (614) 218-8070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1851016687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 ECHOROCK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432315957",
            "telephone_number": "614-218-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 ECHOROCK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432315957",
            "telephone_number": "614-218-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOMES OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "WAJI",
        "authorized_official_first_name": "DURRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-218-8070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.