NORTHWEST COUNTRY PLACE, INC
LIBERTY COUNTRY PLACE · Skilled Nursing Facility

Address: 917 S Scheuber Rd, Centralia, WA 98531-9027

NORTHWEST COUNTRY PLACE, INC (NPI# 1245227131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245227131
Entity Type Organization
Organization Name NORTHWEST COUNTRY PLACE, INC
Other Organization Name LIBERTY COUNTRY PLACE (Doing Business As Name)
Practice Address 917 S Scheuber Rd
Centralia
WA 98531-9027
Practice Telephone 3607369384
Practice Fax Number 3607366284
Mailing Address 917 S Scheuber Rd
Centralia
WA 98531-9027
Mailing Telephone 3607369384
Mailing Fax Number 3607366284
Enumeration Date 2005-10-05
Last Update Date 2011-06-13
Authorized Official Telephone 3607369384
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility NH1138 WA Nursing & Custodial Care Facilities

Other Provider Identifiers

Identifier State Issuer Type Code
4111381 WA MEDICAID

Other Provider/Organization Names

Other Name Type Code
Liberty Country Place Doing Business As Name

Office Location

Street Address 917 S SCHEUBER RD
City CENTRALIA
State WA
Zip Code 98531-9027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003340258 Jennalyn Burke Speech-Language Pathologist 917 S Scheuber Rd, Centralia, WA 98531-9027 2017-04-14
1720691561 Paige Wetherbee Dietitian, Registered 917 S Scheuber Rd, Centralia, WA 98531-9027 2020-08-30
1609488907 Japrice Michele Tibbetts Physical Therapy Assistant 917 S Scheuber Rd, Centralia, WA 98531-9027 2020-08-18
1124639794 Britney Marie Benoit Physical Therapy Assistant 917 S Scheuber Rd, Centralia, WA 98531-9027 2020-08-16
1841827722 Monica Fouts Occupational Therapist 917 S Scheuber Rd, Centralia, WA 98531-9027 2020-03-23
1841710514 Elise Michelle Physical Therapy Assistant 917 S Scheuber Rd, Centralia, WA 98531-9027 2017-06-23
1477000768 Matthew Noble Occupational Therapy Assistant 917 S Scheuber Rd, Centralia, WA 98531-9027 2016-09-05
1457805343 Jacqueline Anne Levet Speech-Language Pathologist 917 S Scheuber Rd, Centralia, WA 98531-9027 2016-08-08
1871046789 Krista Poppe Occupational Therapist 917 S Scheuber Rd, Centralia, WA 98531-9027 2016-07-27
1679930085 Michael Tuason Physical Therapist 917 S Scheuber Rd, Centralia, WA 98531-9027 2016-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699108142 California Advanced Imaging Medical Assoc, Inc. Radiology · Diagnostic Radiology 910 S Scheuber Rd, Centralia, WA 98531-9027 2013-08-19
1013255090 William Alexander Stevens Family Medicine 914 S Scheuber Rd, Centralia, WA 98531-9027 2013-01-24
1326219536 Brian Covington Physician Assistant 914 S. Scheuber Road, Centralia, WA 98531-9027 2008-03-14
1528267804 Providence Health & Services - Washington · Providence Imaging Center Clinic/Center · Radiology, Mammography 908 S Scheuber Rd, Centralia, WA 98531-9027 2007-07-16
1114542065 Gary John Clinton Mersereau Sr. Registered Nurse · Emergency 914 S Scheuber Rd, Centralia, WA 98531-9027 2020-06-16
1366077745 Andrew J Maasdam Nurse Anesthetist, Certified Registered 914 S Scheuber Rd, Centralia, WA 98531-9027 2020-03-06
1447884374 Michelle Stover Registered Nurse 914 S Scheuber Rd, Centralia, WA 98531-9027 2020-02-29
1932748993 Erika Anne Laurentz Counselor 914 S Scheuber Rd, Centralia, WA 98531-9027 2019-12-22
1952942567 Ashley Marie Wheeler Emergency Medicine · Emergency Medical Services 914 S Scheuber Rd, Centralia, WA 98531-9027 2019-10-04
1619537057 Rebecca Kathryn Mcneil Counselor · Mental Health 914 S Scheuber Rd, Centralia, WA 98531-9027 2019-06-18
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1306462205 Jelisa Renae Thomas Counselor · Mental Health 3510 Steelhammer Ln, Centralia, WA 98531 2020-06-17
1013548429 Michael Scott Elliot Counselor 3510 Steelhammer Lane, Centraila, WA 98531 2020-02-04
1205498607 Jennifer Kristine Mcglynn Paterno Counselor · Mental Health 2428 W. Reynods Ave, Centralia, WA 98531 2019-07-05
1144706698 Euijeong Kim Occupational Therapist Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 2018-07-18
1104315266 Margaret Fowler Floyd Registered Nurse Centralia High School, 813 Eshom Road, Centralia, WA 98531 2018-05-04
1124545777 Samantha Michelle Moody Speech-Language Pathologist Centralia School District, 2320 Borst Ave, Centralia, WA 98531 2017-08-24
1821520289 Alexa Franks Behavior Technician 2428 West Reynolds Ave., Centralia, WA 98531 2017-04-03
1023559861 Brandy Michelle Peterson Counselor · Addiction (Substance Use Disorder) 135 W. Main Steet, Centralia, WA 98531 2017-03-13
1043681513 Angela Naillon Counselor · Mental Health 2428 West Reynolds, Centralia, WA 98531 2015-10-09
1023494226 Sarah Pedersen Physician Assistant · Medical 914 South Scheuber Rd, Centralia, WA 98531 2015-08-11
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy 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.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346526134 Fireside-Ltc, LLC · Fireside House of Centralia 1030 Martin Luther King Dr, Centralia, IL 62801-3002 2011-10-25
1568748317 Friendship-Ltc, LLC · Friendship House of Centralia 1000 Martin Luther King Dr, Centralia, IL 62801-3002 2011-10-25
1962435941 Ltc Illinois - Friendship, Inc. · Friendship House of Centralia 1000 Martin Luther King, Centralia, IL 62801 2006-07-10
1689660961 Unlimited Development Inc. · Udi 8 Centralia Manor 1910 E Mccord, Centralia, IL 62801-6586 2005-09-22
1942295993 Evergreen Washington Healthcare Centralia, L.L.C. · Evergreen Centralia Health and Rehabilitation Center 1015 Long Rd, Centralia, WA 98531-1038 2005-09-15
1154328953 Health Services Administration, Inc · Heritage Hall Nursing Center 750 E Highway 22, Centralia, MO 65240-1146 2005-07-07
1861977019 Hcc-Healthcare Properties, LLC 1030 Martin Luther King Dr, Centralia, IL 62801-3002 2018-10-03
1134632961 Riverside Nursing - Centralia LLC · Riverside Nursing & Rehabilitation Center 1305 Alexander St, Centralia, WA 98531-1305 2017-11-15
1912305202 Fmg Alexander Street Washington LLC · Riverside Nursing and Rehabilitation Center 1305 Alexander St, Centralia, WA 98531-1305 2014-12-18
1255743019 Care Center Centralia Inc · Prestige Post-Acute and Rehabilitation Center - Liberty 917 S Scheuber Rd, Centralia, WA 98531-9027 2014-05-28
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City CENTRALIA
Zip Code 98531

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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