Organization Active NPI

Liberty Home Health Care

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1144783358
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIBERTY HOME HEALTH CARE
Practice address
14407 Gilmore St Ste 202
Van Nuys, CA 91401-1400
Phone
(323) 303-3003
Fax
(800) 866-4791
NPI assigned
Apr 13, 2019
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Sergey Kalajyan
Title
Ceo
Phone
(323) 303-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14407 Gilmore St Ste 202
Van Nuys, CA 91401-1400

Mailing address

7226 Sepulveda Blvd Unit 1
Van Nuys, CA 91405-2003
Phone (323) 303-3003

National Provider Directory

National Provider Directory

Locations

14407 Gilmore St
Ste 202A
Van Nuys, CA 91401
Phone (323) 303-3003

7226 Sepulveda Blvd
#1
Van Nuys, CA 91405
Phone (818) 616-4959

NPI Registry JSON

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1144783358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 SEPULVEDA BLVD UNIT 1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052003",
            "telephone_number": "323-303-3003",
            "fax_number": "800-866-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14407 GILMORE ST STE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011400",
            "telephone_number": "323-303-3003",
            "fax_number": "800-866-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "KALAJYAN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-303-3003"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.