CEDARS OF LIBERTY HEALTH CARE CENTER, L.L.C.
NPI 1003264474
Skilled Nursing Facility in Liberty, MO

Active since May 26, 2016CLIA 26D0674875 · Waiver
200 W RUTH EWING RD, LIBERTY, MO 64068(816) 781-7600(816) 781-0636 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedars Of Liberty Health Care Center, L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDARS OF LIBERTY HEALTH CARE CENTER, L.L.C. (NPI 1003264474) is a healthcare organization registered as a skilled nursing facility in Liberty, Missouri and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard J. Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1003264474
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCEDARS OF LIBERTY HEALTH CARE CENTER, L.L.C.
Location Address200 W RUTH EWING RDLiberty, MO 64068-9496
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122 · (314) 543-3800 · Fax (314) 543-3880
Fax(816) 781-0636
Organization SubpartNo
Authorized OfficialRichard J. DestefanePresident · (314) 543-3800
Enumeration DateMay 26, 2016
NPI 1003264474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
200 W RUTH EWING RD, Liberty, MO 64068

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0674875

Cedars Of Liberty Health Care Center · Liberty, MO
Active · expires Aug 31, 2026
CLIA Number26D0674875
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMike Wartzell
Laboratory Phone(314) 543-3846
Laboratory LocationCedars Of Liberty Health Care Center200 W Ruth Ewing, Liberty, MO 64068
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
200 W RUTH EWING RD
LIBERTY, MO 64068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedars Of Liberty Health Care Center, L.L.C.'s NPI number?

The NPI number for Cedars Of Liberty Health Care Center, L.L.C. is 1003264474. It was assigned to this organization in the NPPES registry on May 26, 2016.

Where is Cedars Of Liberty Health Care Center, L.L.C. located?

Cedars Of Liberty Health Care Center, L.L.C. is located at 200 W Ruth Ewing Rd, Liberty, MO 64068. The listed phone number is (816) 781-7600.

What is Cedars Of Liberty Health Care Center, L.L.C.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Cedars Of Liberty Health Care Center, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0674875) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cedars Of Liberty Health Care Center, L.L.C. was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.