NPIMap

Organization Active NPI

Liberty Care LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1003434002
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIBERTY CARE LLC
Practice address
8111 N 19TH Ave Apt 2038
Phoenix, AZ 85021-5168
Phone
(602) 367-7916
NPI assigned
Jul 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shareef DaoudNPI 1730738915
Title
Member/Manager
Phone
(602) 367-7916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8111 N 19TH Ave Apt 2038
Phoenix, AZ 85021-5168

Mailing address

8111 N 19TH Ave Apt 2038
Phoenix, AZ 85021-5168
Phone (602) 367-7916

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1003434002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 N 19TH AVE APT 2038",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215168",
            "telephone_number": "602-367-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 N 19TH AVE APT 2038",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215168",
            "telephone_number": "602-367-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "DAOUD",
        "authorized_official_first_name": "SHAREEF",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "602-367-7916"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.