Clc of Liberty, LLC
NPI 1912997685 · Skilled Nursing Facility · Liberty, MS
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clc of Liberty, LLC is a Skilled Nursing Facility organization in Liberty, MS (NPI 1912997685).
Provider details
- NPI number
- 1912997685
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Wright, Managing Member(662) 680-3148
- License
- 930 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Liberty Community Living Center
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2008-01-28
Frequently asked questions
- What is Clc of Liberty, LLC's NPI number?
- Clc of Liberty, LLC's National Provider Identifier (NPI) is 1912997685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clc of Liberty, LLC?
- Clc of Liberty, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Clc of Liberty, LLC located?
- Clc of Liberty, LLC's practice location on file with NPPES is 323 Industrial Park, Liberty, MS 39645-8069.
- What is Clc of Liberty, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clc of Liberty, LLC is (601) 657-1000.
- Does Clc of Liberty, LLC accept Medicare?
- Clc of Liberty, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clc of Liberty, LLC?
- The authorized official listed on Clc of Liberty, LLC's NPPES record is Douglas Wright, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clc of Liberty, LLC's NPI active?
- Yes — Clc of Liberty, LLC's NPI (1912997685) is active in the NPPES registry as of the last update on 2008-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.