Liberty's Angels Home Care Solution LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIBERTY'S ANGELS HOME CARE SOLUTION LLC

Practice address

19504 County Route 162
Watertown, NY 13601-5449

Phone

(315) 286-4434

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Liberty Moon

Title

Owner

Phone

(315) 286-4434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1578033171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19504 COUNTY ROUTE 162",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015449",
            "telephone_number": "315-286-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19504 COUNTY ROUTE 162",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015449",
            "telephone_number": "315-286-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY'S ANGELS HOME CARE SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-286-4434"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget E Lewis, MSED
• Courtney Lewis, RD, RDN
• Kristin M. Lewis, NP
• Rachel Ellen Lewis, M.D.
• Maksim Liaukovich, M.D.
• Adam Bogdan Licznerski, MD
• Barbara Teresa Licznerski, MD
• Megan Liede
• Jennifer Liesen, MHC
• Chih-Wen Lin, AU.D.

• In Home Supportive Care Agency in Watertown, NY
• Providers in Watertown, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.