MARSH'S RESIDENTIAL LIVING, LLC
NPI 1942664313
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Liberty, NC

Active since April 11, 2016CLIA 34D2119691 · Waiver
615 E SWANNANOA AVE, LIBERTY, NC 27298(336) 622-0252(336) 622-0252 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marsh's Residential Living, Llc NPPES

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

MARSH'S RESIDENTIAL LIVING, LLC (NPI 1942664313) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Liberty, North Carolina and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Monica Marsh, Director, as its authorized official.

NPPES Registry Identity

NPI1942664313
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMARSH'S RESIDENTIAL LIVING, LLC
Location Address615 E SWANNANOA AVELiberty, NC 27298-3002
Mailing Address615 E Swannanoa AveLiberty, NC 27298-3002 · (336) 622-0252 · Fax (336) 622-0252
Fax(336) 622-0252
Organization SubpartNo
Authorized OfficialMonica MarshDirector · (336) 622-0252
Enumeration DateApril 11, 2016
Last NPPES UpdateJanuary 4, 2017
NPI 1942664313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in NC · MHL-076-125
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License MHL-076-125 (NC)
615 E SWANNANOA AVE, Liberty, NC 27298

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 34D2119691

Marsh's Residential Living · Liberty, NC
Active · expires Oct 2, 2026
CLIA Number34D2119691
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorMonica N. Marsh
Laboratory Phone(336) 622-0252
Laboratory LocationMarsh's Residential Living223 W Brower Ave, Liberty, NC 27298
CLIA data matches this NPI record on: Name Phone
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.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
615 E SWANNANOA AVE
LIBERTY, NC 27298

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942664313, enumerated as an "organization" on April 11, 2016.

The provider is located at 615 E SWANNANOA AVE LIBERTY, NC 27298 and the phone number is (336) 622-0252.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.