Liberty Healthcare Services Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

033R0804 Issued in GA

Legal business name

LIBERTY HEALTHCARE SERVICES INC

Practice address

6281 Vinings Vintage Dr
Mableton, GA 30126-7202

Phone

(770) 726-7048

Fax

(770) 485-7340

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Euadria Duru, RN

Title

Owner

Phone

(770) 726-7048

Specialties & licenses 1

Addresses

Tax ID family

Liberty Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty Healthcare Servises Inc.

  • Home Health Agency
  • Mableton, GA
  • NPI 1851662993
  NPD tax ID

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1114290731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 VININGS VINTAGE DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267202",
            "telephone_number": "770-726-7048",
            "fax_number": "770-485-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6281 VININGS VINTAGE DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267202",
            "telephone_number": "770-726-7048",
            "fax_number": "770-485-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "DURU",
        "authorized_official_first_name": "EUADRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-726-7048",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "033R0804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akida Lavender, LPC
• Yohayra Lee
• Leeland Pharmacy
• Glynis Leflore, LPN
• Leland Pharmacy Inc
• Liberty Healthcare Servises Inc.
• Lifelinks Resources LLC
• Tenesha Littleton, LCSW
• Live Line Transportation LLC
• Abraham Lo

• Skilled Nursing Facility in Mableton, GA
• Providers in Mableton, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.