Liberty Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

I000000011116 Issued in TN

Legal business name

LIBERTY HOMECARE

Practice address

425 Danbury CT
Maryville, TN 37804-5378

Phone

(865) 387-5408

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Keith L Austin

Title

President

Phone

(865) 387-5408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1124383633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DANBURY CT",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045378",
            "telephone_number": "865-387-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DANBURY CT",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045378",
            "telephone_number": "865-387-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-387-5408"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000011116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Lewis, COTA/L
• Don R. Lewis Jr., A.N.P.
• Karen Lewis, PTA
• Kevin Liaw, M.D
• Liberty Assisted Living LLC
• Lifeline Center, PLLC
• Lifeline Counseling Center PLLC
• Parker Likos
• Lincare Inc.
• Linda'S Eyewear

• In Home Supportive Care Agency in Maryville, TN
• Providers in Maryville, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.