NPIMap

Organization Active NPI

West Liberty Care Center Inc

  • Assisted Living Facility
  • West Liberty, OH
National Provider Identifier
1881290047
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WEST LIBERTY CARE CENTER INC
Practice address
6557 US Highway 68 S
West Liberty, OH 43357-9536
Phone
(937) 465-3895
NPI assigned
Dec 11, 2020
Organization subpart
Yes
Parent organization
WEST LIBERTY CARE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Michael S Ray
Title
Ceo
Phone
(937) 650-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 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
Phone (937) 465-3895

Other identifiers 1

IdentifierTypeStateIssuer
2965822MedicaidOH

Other names 1

  • Green Hills Inn 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.

Locations

6557 US Highway 68 S
West Liberty, OH 43357
Phone (937) 465-5065

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1881290047",
    "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",
            "telephone_number": "937-465-3895"
        },
        {
            "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": "937-465-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LIBERTY CARE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST LIBERTY CARE CENTER INC",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-650-7103"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2965822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Hills Inn",
            "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 Dec 30, 2020; 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.