OrganizationActive
Liberty Residential Care Services
NPI 1407234487 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbus, OH
Provider details
- NPI number
- 1407234487
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Payne, Owner/Director(614) 843-1696
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
Respite Care Facility
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2878 Ravenswood Ct
Columbus, OH 43232-3830
Phone: (614) 843-1696
Street-level locationGet directions
Mailing address
2878 Ravenswood Ct
Columbus, OH 43232-3830
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2015-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.