Liberty Healthcare Agency, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

LIBERTY HEALTHCARE AGENCY, LLC

Practice address

5300 Atlantic Ave Ste 106G
Raleigh, NC 27609-1123

Phone

(919) 601-7672

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Maurice Chukwudi Ejere Sr.

Title

Director

Phone

(919) 601-7672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1386100873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE STE 106G5300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091122",
            "telephone_number": "919-601-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE STE 106G",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091123",
            "telephone_number": "919-601-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "EJERE",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "CHUKWUDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-601-7672",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Liao, M.D.
• Rosemary Y Liao, O.D.
• Hannah Libera
• Kimberly Liberatore
• Liberty Chiropractic Institute PLLC
• Liberty Healthcare Group LLC
• Liberty Healthcare Group LLC
• Liberty Healthcare Group, LLC
• Liberty Healthcare Group, LLC
• Liberty Home Health Care Inc

• Nursing Care Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.