Liberty Health Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0285908000 Issued in CT

Legal business name

LIBERTY HEALTH SUPPLIES, LLC

Doing business as

Liberty Rehab & Patient Aid Center

Practice address

1151 Stratford Ave
1St Floor
Stratford, CT 06615-6312

Phone

(203) 452-5599

Fax

(203) 459-2860

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William FletcherNPI 1558647396

Title

President

Phone

(203) 452-5599

Specialties & licenses 1

Addresses

Other names 1

• Liberty Rehab & Patient Aid Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Fletcher

  • Orthotic Fitter
  • Stamford, CT
  • NPI 1558647396
  NPD (past) Authorized official

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1518138155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 STRATFORD AVE",
            "address_2": "1ST FLOOR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156312",
            "telephone_number": "203-452-5599",
            "fax_number": "203-459-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 STRATFORD AVE",
            "address_2": "1ST FLOOR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156312",
            "telephone_number": "203-452-5599",
            "fax_number": "203-459-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTH SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-452-5599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "0285908000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Rehab & Patient Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Marie Leger, NP
• Corey Leite, APRN
• Jose Lezcano
• Ning Li, M.D.
• Liberty Health Supplies, LLC (Liberty Rehab & Patient Aid Center)
• Michael William Licamele, PHARM. D.
• Lighthouse Dental Care, LLC
• Andrew Lin
• Eric C Lin, PHARMD
• Daniel D Lincoln, D.C.

• Durable Medical Equipment & Medical Supplies in Stratford, CT
• Providers in Stratford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.