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CAREGIVERS OF LIBERTY I
NPI 1073641247
Assisted Living Facility in Liberty, NC

Active since March 01, 2007
121 EAST RALEIGH AVE, LIBERTY, NC 27298(336) 622-0088 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caregivers Of Liberty I NPPES

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

CAREGIVERS OF LIBERTY I (NPI 1073641247) is a healthcare organization registered as an assisted living facility in Liberty, North Carolina and active in the NPI registry since March 2007. The organization lists Kandice Lackey Jenkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1073641247
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCAREGIVERS OF LIBERTY I
Location Address121 EAST RALEIGH AVELiberty, NC 27298-3005
Mailing Address121 East Raleigh AveLiberty, NC 27298-3005 · (336) 622-0088
Phone(336) 622-0088
Organization SubpartNo
Authorized OfficialKandice Lackey JenkinsOwner · (336) 622-0088
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 14, 2008
✔ NPI 1073641247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · FCL076028
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License FCL-076-028 (NC)
121 EAST RALEIGH AVE, Liberty, NC 27298
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Other Identifiers 2

Medicaid7804675NC
Other7804675NC · Provider Number

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 Caregivers Of Liberty I's NPI number?

The NPI number for Caregivers Of Liberty I is 1073641247. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Caregivers Of Liberty I located?

Caregivers Of Liberty I is located at 121 East Raleigh Ave, Liberty, NC 27298. The listed phone number is (336) 622-0088.

What is Caregivers Of Liberty I's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Caregivers Of Liberty I was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.