Organization Active NPI

Liberty Home Care, Inc.

  • Home Health Agency
  • Jersey City, NJ
National Provider Identifier
1336108075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
22363 Issued in NJ
Legal business name
LIBERTY HOME CARE, INC.
Practice address
150 Warren St
Jersey City, NJ 07302-6443
Phone
(201) 377-6000
Fax
(201) 377-6083
NPI assigned
Mar 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jennifer Manalo
Title
Business Office Manager
Phone
(201) 377-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 22363 NJ Primary

Addresses

Primary practice location

150 Warren St
Jersey City, NJ 07302-6443

Mailing address

150 Warren St
Jersey City, NJ 07302-6443
Phone (201) 377-6000

Other identifiers 2

IdentifierTypeStateIssuer
3690407MedicaidNJ
3690415MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336108075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WARREN ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026443",
            "telephone_number": "201-377-6000",
            "fax_number": "201-377-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WARREN ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026443",
            "telephone_number": "201-377-6000",
            "fax_number": "201-377-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "201-377-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "22363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3690407",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3690415",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.