Liberty Community Connections, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

102749306 Issued in PA

Legal business name

LIBERTY COMMUNITY CONNECTIONS, INC

Practice address

112 N 8TH St Ste 602
Philadelphia, PA 19107

Phone

(267) 765-1515

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Elizabeth Thul

Title

Co-Executive Director

Phone

(267) 765-1515

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407365257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 8TH ST STE 602",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072422",
            "telephone_number": "267-765-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 8TH ST STE 602",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "267-765-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181033977",
            "country_code": "US",
            "telephone_number": "610-432-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY COMMUNITY CONNECTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THUL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-765-1515"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "102749306",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "102749306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iesha Liberato, M.S, ATR
• Richard Liberio, MD
• Daniella Alcin Libertino, LCSW
• Brooke Liberto
• Liberty Bell Home Care Services, Inc.
• Liberty Dental, LLC
• Liberty Eye Surgical Center
• Liberty Eye Surgical Center LLC
• Liberty Home Care Services LLC
• Liberty in-Home Health Care LLC

• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.