Active NPI
Liberty Home Health, LLC
- Home Health Agency
- Dallas, TX
National Provider Identifier
1235483694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012835
- Legal business name
- LIBERTY HOME HEALTH, LLC
- Practice address
- 9330 Lyndon B Johnson Fwy
9TH FLR.
Dallas, TX 75243-3436 - Phone
- (972) 331-2400
- NPI assigned
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chandy Chacko
- Title
- Owner
- Phone
- (972) 331-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012835 | TX | Primary |
Addresses
Primary practice location
9330 Lyndon B Johnson Fwy
9TH FLR.
Dallas, TX 75243-3436
Mailing address
9330 Lyndon B Johnson Fwy
9TH FLR.
Dallas, TX 75243-3436
Phone (972) 331-2400
National Provider Directory
National Provider DirectoryLocations
9330 Lyndon B Johnson Fwy
Fl 9
Dallas, TX 75243
Phone (972) 331-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1235483694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 LYNDON B JOHNSON FWY",
"address_2": "9TH FLR.",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433436",
"telephone_number": "972-331-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 LYNDON B JOHNSON FWY",
"address_2": "9TH FLR.",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433436",
"telephone_number": "972-331-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "CHACKO",
"authorized_official_first_name": "CHANDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-331-2400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Joel Icoy Libardo, R.N.
- Jessica E Libby, LCSW
- Liberty Anesthesia, PLLC
- Liberty at Home Dialysis, LLC
- Liberty Health (Healthcare Chiropractic)
- Liberty Medical Diagnostics Center
- Martha Kingman Liberty, N.P.
- Libra Emergency Physicians, PLLC
- Libra Emergency Physicians, PLLC
- Libra Optometry PA (V EYE P Preston Hollow)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.