Liberty Foster Care, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

LIBERTY FOSTER CARE, LLC

Practice address

15919 Kenbriar Dr
Missouri City, TX 77489-3311

Phone

(832) 207-4016

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

James Walker

Title

Mba

Phone

(832) 207-4016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1124413992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15919 KENBRIAR DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893311",
            "telephone_number": "832-207-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15919 KENBRIAR DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893311",
            "telephone_number": "832-207-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FOSTER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MBA",
        "authorized_official_telephone_number": "832-207-4016"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.