Organization Active NPI

Liberty Nursing Referral Service

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1104145770
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
100503 Issued in MD
Legal business name
LIBERTY NURSING REFERRAL SERVICE
Practice address
101 W 22ND St
Suite 403
Baltimore, MD 21218-5645
Phone
(410) 333-3300
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Salah Fatah
Title
Administrator
Phone
(240) 281-8084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 100503 MD Primary

Addresses

Primary practice location

101 W 22ND St
Suite 403
Baltimore, MD 21218-5645

Mailing address

13801 Brown Branch Rd
Laurel, MD 20707-4906
Phone (240) 281-8084

National Provider Directory

National Provider Directory

Locations

101 W 22nd St
Ste 403
Baltimore, MD 21218
Phone (410) 333-3300

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1104145770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BROWN BRANCH RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074906",
            "telephone_number": "240-281-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 22ND ST",
            "address_2": "SUITE 403",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185645",
            "telephone_number": "410-333-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY NURSING REFERRAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "FATAH",
        "authorized_official_first_name": "SALAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-281-8084"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "100503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.