NPIMap

Organization Active NPI

Liberty Corner Enterprises, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bryson City, NC
National Provider Identifier
1982089553
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LIBERTY CORNER ENTERPRISES, INC.
Practice address
30 Arlington Extension
Bryson City, NC 28713
Phone
(828) 488-0292
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Mrs. Julie Crosson
Title
Bookkeeper
Phone
(828) 254-9917

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

30 Arlington Extension
Bryson City, NC 28713

Mailing address

723 Fairview Rd
Asheville, NC 28803-1107
Phone (828) 254-9917

Other identifiers 4

IdentifierTypeStateIssuer
5950430MedicaidNC
7804737MedicaidNC
3408614MedicaidNC
8301154MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Liberty Corner Enterprises Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1982089553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 FAIRVIEW RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031107",
            "telephone_number": "828-254-9917",
            "fax_number": "828-251-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ARLINGTON EXTENSION",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "28713",
            "telephone_number": "828-488-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CORNER ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "CROSSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "828-254-9917",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950430",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804737",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408614",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301154",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryson City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.