Organization Active NPI

Liberty Plus LLC

  • Home Health Agency
  • Roseville, MN
National Provider Identifier
1144918459
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIBERTY PLUS LLC
Practice address
2355 Highway 36 W Ste 438
Roseville, MN 55113-3902
Phone
(614) 254-9894
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Anawr Adow
Title
Owner
Phone
(614) 254-9894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 438
Roseville, MN 55113-3902

Mailing address

3169 127TH Ave NE
Blaine, MN 55449-2104

National Provider Directory

National Provider Directory

Locations

2355 Highway 36 W
Ste 438
Roseville, MN 55113
Phone (614) 254-9894

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1144918459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 127TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554492104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 438",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133902",
            "telephone_number": "614-254-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "ADOW",
        "authorized_official_first_name": "ANAWR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-254-9894"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.