Organization Active NPI

Liberty Caregivers LLC

  • In Home Supportive Care Agency
  • Feasterville Trevose, PA
National Provider Identifier
1063007482
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIBERTY CAREGIVERS LLC
Practice address
1 Neshaminy Interplex Dr
Suite 104a
Feasterville Trevose, PA 19053-6953
Phone
(267) 900-4001
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Mrs. Kateryna ReyzinNPI 1750241899
Title
Ceo
Phone
(267) 900-4001

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1 Neshaminy Interplex Dr
Suite 104a
Feasterville Trevose, PA 19053-6953

Mailing address

1 Neshaminy Interplex Dr Ste 104C
Feasterville Trevose, PA 19053-6953
Phone (267) 900-4001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1063007482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NESHAMINY INTERPLEX DR STE 104C",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536953",
            "telephone_number": "267-900-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NESHAMINY INTERPLEX DR",
            "address_2": "SUITE 104A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536953",
            "telephone_number": "267-900-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "REYZIN",
        "authorized_official_first_name": "KATERYNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-900-4001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.