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

4820 Park Glen Rd
St Louis Park, MN 55416-5702

Phone

(952) 920-0460

Fax

(952) 920-0480

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Francis M Sheehy

Title

Owner 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

  dba Liberty Oxygen and Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Coon Rapids, MN
  • NPI 1164854592

  7214149947

  Same PAC ID
• Liberty Oxygen and Home Care, Inc

  dba Liberty Oxygen and Medical Equipment

  • 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

Tax ID family

Liberty Oxygen and Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty Oxygen and Home Care, Inc

  dba Liberty Oxygen and Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Maplewood, MN
  • NPI 1356519268
  NPD tax ID

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1194723858",
    "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",
            "fax_number": "952-920-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165702",
            "telephone_number": "952-920-0460",
            "fax_number": "952-920-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY OXYGEN AND HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "SHEEHY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "952-920-0460",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "UCARE",
            "identifier": "170158",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183427400",
            "state": "MN"
        },
        {
            "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": "HEALTH PARTNERS",
            "identifier": "83371",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jessica.westlund@libertyoxygen.com",
            "affiliation": "N",
            "endpointDescription": "Business Operations Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4820 Park Glen Rd",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554165702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Liberty Oxygen and Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Lewis, PHARM.D.
• Christian Lewis, RN
• Michelle Lhotka, PA-C
• Qian Li, PHD
• Xinsong N/a Li, L.AC.
• Michelle Libi, M.A., LMFT
• Kay Elizabeth Lichtenberger, DPT
• Katie Marie Lick, R.D., L.D.
• Wayne D Liebhard, M.D.
• Jack L Liebo, M.D.

• Durable Medical Equipment & Medical Supplies in St Louis Park, MN
• Providers in St Louis Park, 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.