Liberty Healthcare Services, LLC Plus

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

201108201462 Issued in OH

Legal business name

LIBERTY HEALTHCARE SERVICES, LLC PLUS

Practice address

123 S Broad St Ste 305
Lancaster, OH 43130-4304

Phone

(614) 747-3356

Fax

(740) 901-3028

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Viengkeo Bounemany

Title

Owner

Phone

(614) 747-3356

Specialties & licenses 1

Addresses

Other names 1

• LIBERTY HEALTHCARE SERVICES, LLC PLUS Former legal business name

Locations

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1043500432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 305",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304304",
            "telephone_number": "614-747-3356",
            "fax_number": "614-901-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 305",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304304",
            "telephone_number": "614-747-3356",
            "fax_number": "740-901-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE SERVICES, LLC PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BOUNEMANY",
        "authorized_official_first_name": "VIENGKEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-747-3356"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "201108201462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIBERTY HEALTHCARE SERVICES, LLC PLUS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bradley Jonathan Lewis, MD
• Elaine Marie Lewis, MD
• Melissa Lewis
• Sandi Jinxian Li, D.O.
• Liberty Healthcare Services, LLC
• Jason Brett Lichten, M.D.
• Limitless Counseling Services LLC
• Yuchen Jean Lin, MS
• Megan Caroline Lindsey
• Ron Linehan, MD

• Home Health Agency in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.