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Contact Information

LIBERTY RIDGE HEALTHCARE GROUP, LLC
189 MONICA BLVD.
LYNCHBURG, VA24502
 Phone: 434-847-2860
 Fax: 434-847-2857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LIBERTY RIDGE HEALTHCARE GROUP, LLC

NPI # 1609111913
LBN Legal business name LIBERTY RIDGE HEALTHCARE GROUP, LLC
Authorized official WILLIAM WEISBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/28/2012
Last updated 01/14/2022 - About 4 years ago
Identifiers
VA License # NH2771
VA Medicaid 1609111913
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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