Active NPI
Liberty Home Care, Inc.
- Home Health Agency
- Jersey City, NJ
National Provider Identifier
1336108075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 22363
- 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, 2020
- 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
- Ms. Jennifer Manalo
- Title
- Business Office Manager
- Phone
- (201) 377-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3690407 | Medicaid | NJ | |
| 3690415 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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
- Liberty Diagnostic Pathology PA
- Liberty Emergency Medical Associates LLC
- Liberty Foot and Ankle Care
- Liberty Health Care System (Ctr for Children with Special Needs)
- Liberty Health Jersy City Medical Center
- Liberty Nursing Home of Jersey City Inc
- Liberty Physical Health PC
- Liberty Physical Therapy PC (Liberty Physical Therapy & Wellness)
- Liberty Pulmonary Critical Care
- Liberty Surgical Associates
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.