Liberty Nursing Center of Xenia

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

6013 Issued in OH

Legal business name

LIBERTY NURSING CENTER OF XENIA

Practice address

126 Wilson Dr
Xenia, OH 45385-1848

Phone

(937) 376-2121

Fax

(937) 296-1540

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Linda Black-Kurek

Title

President

Phone

(937) 296-1550

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1871522987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 LIBERTY WOODS LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593911",
            "telephone_number": "937-376-2121",
            "fax_number": "937-376-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WILSON DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851848",
            "telephone_number": "937-376-2121",
            "fax_number": "937-296-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY NURSING CENTER OF XENIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "BLACK-KUREK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-296-1550"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "6013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2244879",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Lesuer
• Robert A Leveck
• Clara Levy
• Alexandria Lewis
• Jessica Nicole Lewis, NP
• Limitless Hope
• Katherine Sue Lin, MD
• Georgia Ann Lindsey, CNS, NP
• Luwanna Loree Linkhart, COTA/L
• Jessica Lippke

• Pediatric Skilled Nursing Facility in Xenia, OH
• Providers in Xenia, OH by specialty
• Pediatric Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.