LIBERTY CORNER ENTERPRISES, INC. (NPI# 1982089553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982089553 |
| Entity Type | Organization |
| Organization Name | LIBERTY CORNER ENTERPRISES, INC. |
| Practice Address |
30 Arlington Extension Bryson City NC 28713 |
| Mailing Address |
723 Fairview Rd Asheville NC 28803-1107 |
| Practice Telephone | 8284880292 |
| Mailing Telephone | 8282549917 |
| Mailing Fax Number | 8282515373 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MRS. JULIE CROSSON (BOOKKEEPER) |
| Authorized Official Telephone | 8282549917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804737 | 05 | |
| NC | 8301154 | 05 | |
| NC | 3408614 | 05 | |
| NC | 5950430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932576444 | Liberty Corner Enterprises, Inc. | Case Management | 55 Stradwood Pl, Asheville, NC 28804-1825 | 2015-09-01 |
| 1437526951 | Liberty Corner Enterprises, Inc. | Case Management | 142 Walnut Valley Ln, Waynesville, NC 28786-9560 | 2015-09-01 |
| 1346617867 | Liberty Corner Enterprises, Inc. | Case Management | 629 Old Marshall Hwy, Asheville, NC 28804-9603 | 2015-09-01 |
| 1619352457 | Liberty Corner Enterprises, Inc. | Case Management | 62 Marne Rd, Asheville, NC 28803-2221 | 2015-07-22 |
| 1043695885 | Liberty Corner Enterprises, Inc. | Case Management | 65 Lees Creek Rd, Windemere Group Home, Asheville, NC 28806-4707 | 2015-07-22 |
| 1174908917 | Liberty Corner Enterprises, Inc. | Case Management | 521 Clearview Ter, Asheville, NC 28804-3402 | 2015-07-22 |
| 1245615087 | Liberty Corner Enterprises, Inc. | Case Management | 211 Nellie John Dr, Clyde, NC 28721-7006 | 2015-07-22 |
| 1548645385 | Liberty Corner Enterprises, Inc. | Case Management | 35 Aquifer Brae Ln, Waynesville, NC 28786-0169 | 2015-07-22 |
| 1427433275 | Liberty Corner Enterprises, Inc. | Case Management | 23 Old Farm School Rd, Asheville, NC 28805-1604 | 2015-07-22 |
| 1063888568 | Liberty Corner Enterprises, Inc. | Case Management | 30 Church St, Canton, NC 28716-4432 | 2015-08-19 |
| Street Address |
30 ARLINGTON EXTENSION |
| City | BRYSON CITY |
| State | NC |
| Zip Code | 28713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487104048 | Healthstat Onsite Clinic Consolidated Metco Bryson City | Preventive Medicine | 1821 Us-19, Bryson City, NC 28713 | 2016-10-07 |
| 1437517331 | Matthew Aycock | Pharmacist | Highway 19 & Slope St, Bryson City, NC 28713 | 2016-02-05 |
| 1316374861 | Katherine Kreps | Pharmacist | 50 Hwy 19 & Slope St, Bryson City, NC 28713 | 2013-09-30 |
| 1346682721 | Mcclendon Funderburk Home Health Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5218 Springdale Drive, Waxhaw, NC 28713 | 2013-07-25 |
| 1285974667 | James Weaver Kirkpatrick Jr. | Pharmacist | 200 Valley Village Shopping Center Highway 19 S, Bryson City, NC 28713 | 2013-02-22 |
| 1154671188 | Pamela B Winchester | Pharmacist | Hwy 19 and Slope St., Bryson City, NC 28713 | 2012-09-18 |
| 1760761456 | Dennis M Harrison | Acupuncturist | 641 Wesser Creek Rd., Bryson City, NC 28713 | 2011-08-11 |
| 1730499674 | Mountain Discovery Charter School | Physical Therapist | 890 Jenkins Branch Rd, Bryson City, NC 28713 | 2010-10-13 |
| 1184931701 | Bryson City Health Holdings, LLC | Assisted Living Facility | 314 Hughes Branch Rd, Bryson City, NC 28713 | 2010-09-02 |
| 1811124712 | Robert Lewis Gold | Chiropractor | 264 Highway 19, Suite 3, Bryson City, NC 28713 | 2009-06-18 |
| Find all providers in zip 28713 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
| City | BRYSON CITY |
| Zip Code | 28713 |
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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.