Active NPI
Liberty Nursing Center of Riverview, Inc
- Skilled Nursing Facility
- Cincinnati, OH
National Provider Identifier
1891025425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1297
- Legal business name
- LIBERTY NURSING CENTER OF RIVERVIEW, INC
- Practice address
- 5999 Bender Rd
Cincinnati, OH 45233-1601 - Phone
- (513) 347-8320
- NPI assigned
- Jan 4, 2010
- 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
- Mrs. Linda Black-Kurek, CPA
- Title
- President
- Phone
- (937) 296-1550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1297 | OH | Primary |
Addresses
Primary practice location
5999 Bender Rd
Cincinnati, OH 45233-1601
Mailing address
7445 Liberty Woods LN
Dayton, OH 45459-3911
Phone (937) 296-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001138 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1891025425",
"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": "937-296-1550",
"fax_number": "937-296-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5999 BENDER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452331601",
"telephone_number": "513-347-8320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY NURSING CENTER OF RIVERVIEW, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-04",
"last_updated": "2010-02-03",
"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",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "1297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001138",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.