Organization Active NPI

Liberty Home Health, LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1235483694
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012835 Issued in TX
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

Updated by the provider on Nov 6, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.