LIBERTY HEALTHCARE MGT, LLC (NPI# 1083120653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083120653 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE MGT, LLC |
| Practice Address |
1301 Bloom Rd Danville PA 17821-6532 |
| Practice Telephone | 5702844343 |
| Practice Fax Number | 5702713741 |
| Mailing Telephone | 5702844343 |
| Mailing Fax Number | 5702713741 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | DAVID W KLINGERMAN JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 5702048787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
1301 BLOOM RD |
| City | DANVILLE |
| State | PA |
| Zip Code | 17821-6532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386292035 | Lackawanna Healthcare Associates LLC | Skilled Nursing Facility | 1301 Bloom Rd, Danville, PA 17821-6532 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163014 | Geisinger Clinic | Medical Genetics | 3 Wesner Lane, 1st Floor, Danville, PA 17821 | 2020-04-23 |
| 1437620853 | Teresa Lynne Hess | Pharmacist | 553-555 Mahoning St, Milton, PA 17821 | 2018-12-11 |
| 1013257393 | Greggory Lewis Anderson | Speech-Language Pathologist | 64 Rehab Lane, Danville, PW 17821 | 2013-02-22 |
| 1487920047 | Eve Marina Santos | Dentist | 444 Pine St, Danville, PA 17821 | 2012-03-28 |
| 1164758371 | Mary Gergis | Physician Assistant | 604 Continental Blvd, Danville, PA 17821 | 2009-10-22 |
| 1568627529 | Tamara T Myers | Surgery | 100 North Academy Avenue, Mc 21-70, Geisinger Medical Center, Department of General Surgery, Danville, PA 17821 | 2008-07-18 |
| 1407999766 | Cmsu Behavioral Health and Developmental Services | Case Management | 507 E Market St, Danville, PA 17821 | 2007-02-15 |
| 1912074261 | John Stephen Foster | Physical Therapist | 11 Northumberland Street, Danville, PA 17821 | 2006-11-30 |
| 1073587796 | Susquehanna Valley Home Health Care | Home Health | 273 Gotschal Rd, Danville, PA 17821 | 2006-02-17 |
| 1306302716 | Lindsay A Hauser | Nurse Practitioner | 175 Northumberland Street, Danville, PA 17821 | 2019-02-11 |
| Find all providers in zip 17821 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679088231 | Grandview Operations LLC | Skilled Nursing Facility | 78 Woodbine Ln, Danville, PA 17821-8020 | 2017-12-05 |
| 1346642139 | Pharmerica | Skilled Nursing Facility | 1949 Casablanca St, Danville, CA 94506-4807 | 2014-09-23 |
| 1750516894 | Danville Healthcare Group, Inc. | Skilled Nursing Facility | 508 Rison St, Danville, VA 24541-2457 | 2009-05-19 |
| 1194882647 | North Logan Health Care Center Investors LLC | Skilled Nursing Facility | 801 N Logan Ave, Danville, IL 61832-3715 | 2007-01-03 |
| 1972675866 | Indiana Health & Rehabilitation Centers | Skilled Nursing Facility | 255 Meadow Dr, Danville, IN 46122-1415 | 2006-11-15 |
| 1588745384 | Roman Eagle Rehabilitation and Health Care Center, Inc. | Skilled Nursing Facility | 2526 N Main St, Danville, VA 24540-2333 | 2006-10-18 |
| 1922197383 | County of Vermilion | Skilled Nursing Facility | 14792 Catlin Tilton Rd, Danville, IL 61834-5116 | 2006-10-12 |
| 1578678041 | Dearth Homes, Inc | Skilled Nursing Facility | 25326 Snively Rd, Danville, OH 43014-9761 | 2006-08-21 |
| 1710990536 | Medical Facilities of America Xxii | Skilled Nursing Facility | 2344 Riverside Dr, Danville, VA 24540-4212 | 2006-08-14 |
| 1871506923 | Medical Facilities of America Viii | Skilled Nursing Facility | 450 Piney Forest Rd, Danville, VA 24540-4011 | 2006-08-13 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.