Organization Active NPI

Liberty Providers LLC

Doing business as Visiting Angels Monroe

  • Home Health Agency
  • Monroe, MI
National Provider Identifier
1548640295
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIBERTY PROVIDERS LLC
Doing business as
Visiting Angels Monroe
Practice address
15649 S Telegraph Rd
Monroe, MI 48161-4066
Phone
(734) 344-7331
Fax
(734) 274-2027
NPI assigned
Jun 8, 2015
Last updated
Dec 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
William Bruck
Title
Owner/Director
Phone
(734) 344-7331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

15649 S Telegraph Rd
Monroe, MI 48161-4066

Mailing address

15649 S Telegraph Rd
Monroe, MI 48161-4066
Phone (734) 344-7331

Other names 1

  • Visiting Angels Monroe Doing business as

National Provider Directory

National Provider Directory

Locations

15649 S Telegraph Rd
Monroe, MI 48161
Phone (734) 241-4070

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1548640295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15649 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614066",
            "telephone_number": "734-344-7331",
            "fax_number": "734-274-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15649 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614066",
            "telephone_number": "734-344-7331",
            "fax_number": "734-274-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "BRUCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "734-344-7331"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels Monroe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.