Organization Active NPI

Liberty Home Health LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1053673657
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
L-1730109-0 Issued in AZ
Legal business name
LIBERTY HOME HEALTH LLC
Practice address
11811 N Tatum Blvd Ste 3031
Phoenix, AZ 85028-1621
Phone
(602) 456-9993
Fax
(602) 456-9993
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dianna Baker
Title
Administrator
Phone
(602) 456-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X L-1730109-0 AZ Primary

Addresses

Primary practice location

11811 N Tatum Blvd Ste 3031
Phoenix, AZ 85028-1621

Mailing address

11811 N Tatum Blvd Ste 3031
Phoenix, AZ 85028-1621
Phone (602) 456-9993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1053673657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD STE 3031",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281621",
            "telephone_number": "602-456-9993",
            "fax_number": "602-456-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD STE 3031",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281621",
            "telephone_number": "602-456-9993",
            "fax_number": "602-456-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-456-9993"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "L-1730109-0",
            "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 Apr 22, 2015; 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.