Lifelong Liberty Care II Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFELONG LIBERTY CARE II INC

Practice address

22122 Sherman Way Ste 303a
Canoga Park, CA 91303-1147

Phone

(818) 617-3800

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Miss Ayomide S Agbebi

Title

Ceo

Phone

(818) 617-3800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1407609886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22122 SHERMAN WAY STE 303A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031147",
            "telephone_number": "818-617-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22122 SHERMAN WAY STE 303A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031147",
            "telephone_number": "818-617-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG LIBERTY CARE II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "AGBEBI",
        "authorized_official_first_name": "AYOMIDE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-617-3800",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylia Lewis
• Stephanie Lezama
• Yaochi Li
• Eileen D. Libbey
• Matthew Lien
• Laura Lima
• Dalia Limon
• Nanssy Lin Luo
• Christine Lin
• Jay Jenshong Lin, M.D.

• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.