Liberty Senior Living-N H L L C

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N089019 Issued in KS

Legal business name

LIBERTY SENIOR LIVING-N H L L C

Practice address

5015 SW 28TH St
Topeka, KS 66614-2319

Phone

(785) 273-0886

Fax

(785) 273-0959

NPI assigned

Sep 29, 2005

Organization subpart

No

Name

Mr. Thomas E Rawles Jr.

Title

VP

Phone

(239) 963-3400

• Westwood Manor Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902893597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 HORSESHOE DR S",
            "address_2": "STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046144",
            "telephone_number": "239-963-3400",
            "fax_number": "239-963-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142319",
            "telephone_number": "785-273-0886",
            "fax_number": "785-273-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY SENIOR LIVING-N H L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAWLES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "239-963-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N089019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Topeka, KS
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.