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LIBERTY VILLAGE
NPI 1750790960
Assisted Living Facility in Chillicothe, OH

Active since August 13, 2014CLIA 36D2286819 · Waiver
1839 WESTERN AVE, CHILLICOTHE, OH 45601(740) 773-4630(740) 773-4648 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Village NPPES

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

LIBERTY VILLAGE (NPI 1750790960) is a healthcare organization registered as an assisted living facility in Chillicothe, Ohio and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists J Michael Haemmerle, President, as its authorized official.

NPPES Registry Identity

NPI1750790960
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLIBERTY VILLAGE SENIOR COMMUNITIES INC
Location Address1839 WESTERN AVEChillicothe, OH 45601
Mailing Address5920 Venture DriveDublin, OH 43017 · (614) 798-5110 · Fax (614) 798-5125
Phone(740) 773-4630
Fax(740) 773-4648
Organization SubpartNo
Authorized OfficialJ Michael HaemmerlePresident · (614) 799-4447
Enumeration DateAugust 13, 2014
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1750790960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OH · 2020 RCF
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.
1839 WESTERN AVE, Chillicothe, OH 45601
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Other Names 1

Doing Business AsLiberty Village

Other Identifiers 2

Medicaid385459727OH
Other2020 RCFOH · Rcf License

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 36D2286819

Liberty Village · Chillicothe, OH
Active · expires Aug 2, 2027
CLIA Number36D2286819
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorSheila J. Blevins
Laboratory Phone(740) 773-4630
Laboratory LocationLiberty Village1839 Western Ave, Chillicothe, OH 45601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Liberty Village Senior Communities Inc's NPI number?

The NPI number for Liberty Village Senior Communities Inc is 1750790960. It was assigned to this organization in the NPPES registry on August 13, 2014. The provider is doing business as Liberty Village.

Where is Liberty Village Senior Communities Inc located?

Liberty Village Senior Communities Inc is located at 1839 Western Ave, Chillicothe, OH 45601. The listed phone number is (740) 773-4630.

What is Liberty Village Senior Communities Inc's specialty?

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

Does Liberty Village Senior Communities Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2286819) is associated with this NPI, valid through August 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Village Senior Communities Inc was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.