Liberty Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1588347 Issued in OH

Legal business name

LIBERTY HEALTHCARE SERVICES, LLC

Practice address

123 S Broad St Ste 305
Lancaster, OH 43130-4304

Phone

(740) 901-3026

Fax

(740) 901-3028

NPI assigned

Dec 24, 2007

Organization subpart

Yes

Parent organization

LIBERTY HEALTHCARE SERVICE, LLCAs reported in NPPES

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

Authorized official

Name

Viengkeo Bounemany

Title

Ceo

Phone

(614) 747-3356

Specialties & licenses 1

Addresses

Part of

Liberty Healthcare Services LLC

Locations

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1508040676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 305",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304304",
            "telephone_number": "740-503-5933",
            "fax_number": "740-901-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 305",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304304",
            "telephone_number": "740-901-3026",
            "fax_number": "740-901-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY HEALTHCARE SERVICE, LLC",
        "enumeration_date": "2007-12-24",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "BOUNEMANY",
        "authorized_official_first_name": "VIENGKEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-747-3356"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1588347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Suzanne Lewis
• Bradley Jonathan Lewis, MD
• Elaine Marie Lewis, MD
• Melissa Lewis
• Sandi Jinxian Li, D.O.
• Liberty Healthcare Services, LLC Plus
• Jason Brett Lichten, M.D.
• Limitless Counseling Services LLC
• Yuchen Jean Lin, MS
• Megan Caroline Lindsey

• Home Health Agency in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.