Liberty Oxygen and Home Care, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5677949 Issued in MN

Legal business name

LIBERTY OXYGEN AND HOME CARE, INC

Doing business as

Liberty Oxygen and Medical Equipment

Practice address

1715-D Beam Avenue
Maplewood, MN 55109

Phone

(651) 789-7500

Fax

(651) 784-7500

NPI assigned

Feb 13, 2008

Organization subpart

Yes

Parent organization

LIBERTY OXYGEN & HOME CARE, INCAs reported in NPPES

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

Authorized official

Name

Francis M Sheehy

Title

President / Owner

Phone

(952) 920-0460

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Liberty Oxygen and Medical Equipment Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Liberty Oxygen and Home Care, Inc

  dba Liberty Oxygen and Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Coon Rapids, MN
  • NPI 1164854592

  7214149947

  Same PAC ID
• Liberty Oxygen and Home Care, Inc

  dba Liberty Oxygen and Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • St Louis Park, MN
  • NPI 1194723858

  7214149947

  Same PAC ID

Tax ID family

Liberty Oxygen and Home Care Inc2 organizations share this tax ID, including this one

Part of

Liberty Oxygen and Home Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty Oxygen and Home Care, Inc

  dba Liberty Oxygen and Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • St Louis Park, MN
  • NPI 1194723858
  NPD tax ID

Locations

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1356519268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165702",
            "telephone_number": "952-920-0460",
            "fax_number": "952-920-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715-D BEAM AVENUE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-789-7500",
            "fax_number": "651-784-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY OXYGEN AND HOME CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY OXYGEN & HOME CARE, INC",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "SHEEHY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "952-920-0460"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "5677949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "170158",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1030361",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "83371",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183427400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "79B05LI",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.westlund@libertyoxygen.com",
            "affiliation": "N",
            "endpointDescription": "Business Operations Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1715-D Beam Avenue",
            "city": "Maplewood",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Liberty Oxygen and Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Lee Leppanen, CRNA
• Margaret R Lesher, MA, OTR/L
• Ronald F Less, MD
• Sarah Lewer
• Lugman Herzi Liban
• Jelena A Licina, MD
• Lifewaycare Inc
• Mark Charles Lightner, B.A.
• Sarah Lilja, LICSW
• Alexis Linares Morales

• Durable Medical Equipment & Medical Supplies in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.