Liberty Estates LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIBERTY ESTATES LLC

Doing business as

Assurance Lactation Consulting

Practice address

4300 Liberty Rd
Dallas, OR 97338-9254

Phone

(503) 420-3223

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Bethany Anne Roberts, RN, CLCNPI 1316606494

Title

Owner

Phone

(503) 420-3223

Specialties & licenses 1

Addresses

Other names 1

• Assurance Lactation Consulting Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethany Anne Roberts, RN

  • Perinatal Registered Nurse
  • Independence, OR
  • NPI 1316606494
  NPD Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1568167625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LIBERTY RD",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389254",
            "telephone_number": "503-420-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LIBERTY RD",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389254",
            "telephone_number": "503-420-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ESTATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-420-3223",
        "authorized_official_credential": "RN, CLC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assurance Lactation Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Ruhoff Lee, PA-C
• Michael Lee
• Brittany Rae Leech
• Elaine Ann Leiker
• Dawn M Leon, MA
• Jennifer Lief
• Yiping Lim, PT, DPT
• Jonathan Scott Lindgren, M.D.
• Katie Longshore, QMHA, CRM II, PSS
• Lyndsay M Posey (Willamette Acupuncture and Wellness)

• In Home Supportive Care Agency in Dallas, OR
• Providers in Dallas, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.