Liberty Care Agency, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

0902527 Issued in OH

Legal business name

LIBERTY CARE AGENCY, LLC

Practice address

5210 Aster Park Dr Apt 1712
Hamilton, OH 45011-6300

Phone

(513) 497-9137

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Alfred K Bobie-Frimpong

Title

Director

Phone

(513) 497-9137

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1275813602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 ASTER PARK DR APT 1712",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116300",
            "telephone_number": "513-497-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 ASTER PARK DR APT 1712",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116300",
            "telephone_number": "513-497-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "BOBIE-FRIMPONG",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-497-9137"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "OH",
            "license": "0902527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053243",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Lewis, LICDC
• Payton Lewis
• Alec Leyendecker
• Mary Ruth Leyendecker, NP
• Michele Lynn Leyrer, M.S. CCC-SLP
• Liberty Township Trustees
• Kae D Lichen
• Melissa Liddle, PSY.D.
• Lifeline Institutional Pharmacy
• Lifesource, LLC.

• Developmental Disabilities Clinic/Center in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Developmental Disabilities Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.