DME Health Management Group LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DME HEALTH MANAGEMENT GROUP LLC

Doing business as

Liberty Care Services

Practice address

460 Main Ave South
Suite C
Twin Falls, ID 83301

Phone

(208) 734-7730

Fax

(208) 735-8176

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Moreno

Title

Majority Member

Phone

(208) 734-7730

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Liberty Care Services Doing business as

Locations

Practitioners 1

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

• Tamara Okelberry, M.ED, CMHC

  • Mental Health Counselor
  • Magna, UT
  • NPI 1003031428
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1073661328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1641",
            "address_2": "460 MAIN AVE. SOUTH SUITE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-7730",
            "fax_number": "208-735-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MAIN AVE SOUTH",
            "address_2": "SUITE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-7730",
            "fax_number": "208-735-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME HEALTH MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MAJORITY MEMBER",
        "authorized_official_telephone_number": "208-734-7730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806769900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806815900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806875000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806857800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Bruce Dingman, DDS
• Thomas Dirocco, M.D.
• David V Dixon, LCPC LMFT
• Spencer Warren Dixon, DDS
• Stephen Frederick Dixon, DDS
• H Peter Doble II, M.D.
• William Dobson IV, PHD, LPC
• Cameron Dodd, PA-C
• Dodds Chiropractic PLLC
• Chad William Dodds, D.D.S.

• Case Management Agency in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.