Libertycare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

003536 Issued in TX

Legal business name

LIBERTYCARE, INC.

Doing business as

LibertyCare Home & Community Support Services

Practice address

710 S 8TH St
Richmond, TX 77469-3405

Phone

(281) 342-1974

Fax

(281) 342-9912

NPI assigned

Jun 6, 2006

Last updated

Sep 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bola B Stephen, RN

Title

Administrator

Phone

(281) 342-1974

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LibertyCare Home & Community Support Services Doing business as

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1154360055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 8TH ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693405",
            "telephone_number": "281-342-1974",
            "fax_number": "281-342-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 8TH ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693405",
            "telephone_number": "281-342-1974",
            "fax_number": "281-342-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTYCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "BOLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-342-1974",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS LICENSE",
            "identifier": "003536",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LibertyCare Home & Community Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Richmond, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.