Liberty Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIBERTY LEASING CO., LLC

Practice address

4017 Liberty Heights Ave
Baltimore, MD 21207-7545

Phone

(410) 542-5306

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Jennifer Campbell

Title

Director of Reimbursements

Phone

(513) 489-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BridgePark Healthcare Center Doing business as

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1578740700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412465",
            "telephone_number": "513-489-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077545",
            "telephone_number": "410-542-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENTS",
        "authorized_official_telephone_number": "513-489-7100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414432500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BridgePark Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernard Liberman, PHD
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• Joseph Gregory Liberto, M.D.
• Robert Terrence Liberto, MD
• Liberty Heights Wabash Dolfield Consolidated Trust CDC Inc
• Liberty Medical & Injury Center
• Liberty Medical &Injury Center
• Liberty Medical Services, LLC
• Liberty Nursing Referral Service
• Liberty Pharmacy LLC

• Skilled Nursing Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.