Liberty Oxygen and Home Care, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5677949 Issued in MN

Legal business name

LIBERTY OXYGEN AND HOME CARE, INC

Doing business as

Liberty Oxygen and Medical Equipment

Practice address

11650 Round Lake Blvd NW
107
Coon Rapids, MN 55433-2700

Phone

(763) 231-2077

Fax

(763) 231-2177

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Francis Sheehy

Title

President

Phone

(952) 920-0460

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Liberty Oxygen and Medical Equipment Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Liberty Oxygen and Home Care, Inc

  • Durable Medical Equipment & Medical Supplies
  • St Louis Park, MN
  • NPI 1194723858

  7214149947

  Same PAC ID
• Liberty Oxygen and Home Care, Inc

  • Durable Medical Equipment & Medical Supplies
  • Maplewood, MN
  • NPI 1356519268

  7214149947

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1164854592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165702",
            "telephone_number": "952-920-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 ROUND LAKE BLVD NW",
            "address_2": "107",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332700",
            "telephone_number": "763-231-2077",
            "fax_number": "763-231-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY OXYGEN AND HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "SHEEHY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-0460"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "5677949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "79B05LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1030361",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "170158",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183427400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "83371",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.westlund@libertyoxygen.com",
            "affiliation": "N",
            "endpointDescription": "Business Operations Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11650 Round Lake Blvd NW",
            "address_2": "107",
            "city": "Coon Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554332700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Liberty Oxygen and Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Lessard, DNP, APRN, CNP
• Jennifer Jean Lewis, PT
• Deborah L Leyh, CRNA
• Richard G Leyh, CRNA
• Liberty Care LLC
• Megan Marie Lidtke
• Lifearc Ventures
• Lighted Pathways Therapy, LLC
• Ibukunoluwa Lijadu
• Stacey Lillebo-Miller, LICSW

• Durable Medical Equipment & Medical Supplies in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.