Organization Active NPI

Liberty Home Care Nursing Agency LLC

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1235974288
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIBERTY HOME CARE NURSING AGENCY LLC
Practice address
1101 Connecticut Ave NW Ste 450
Washington, DC 20036-4359
Phone
(202) 883-6495
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Philip Anthony Ford
Title
Owner
Phone
(512) 750-3844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1101 Connecticut Ave NW Ste 450
Washington, DC 20036-4359

Mailing address

10510 Grove Ridge PL
North Bethesda, MD 20852-4656
Phone (512) 750-3844

National Provider Directory

National Provider Directory
Tax ID family
Liberty Home Care Nursing Agency LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1235974288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 GROVE RIDGE PL",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208524656",
            "telephone_number": "512-750-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CONNECTICUT AVE NW STE 450",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364359",
            "telephone_number": "202-883-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOME CARE NURSING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-750-3844"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.