Organization Active NPI

Liberty Centre Services, Inc.

  • Case Manager/Care Coordinator
  • Norfolk, NE
National Provider Identifier
1902004120
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LIBERTY CENTRE SERVICES, INC.
Practice address
900 E Norfolk Ave
Norfolk, NE 68701-5502
Phone
(402) 370-3503
Fax
(402) 370-3250
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Patty Skokan
Title
Executive Director
Phone
(402) 370-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X NE Primary

Addresses

Primary practice location

900 E Norfolk Ave
Norfolk, NE 68701-5502

Mailing address

900 E Norfolk Ave
Norfolk, NE 68701-5502
Phone (402) 370-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240503000858 NE Part B Supplier - Clinic/Group Practice 6800236183 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, NE

National Provider Directory

National Provider Directory

Locations

900 E Norfolk Ave
Norfolk, NE 68701
Phone (402) 370-3503

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902004120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015502",
            "telephone_number": "402-370-3503",
            "fax_number": "402-370-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015502",
            "telephone_number": "402-370-3503",
            "fax_number": "402-370-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CENTRE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SKOKAN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-370-3503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.