Organization Active NPI

Liberty Oxygen and Home Care, Inc

Doing business as Liberty Oxygen and Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Maple Grove, MN
National Provider Identifier
1619145943
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5677949 Issued in MN
Legal business name
LIBERTY OXYGEN AND HOME CARE, INC
Doing business as
Liberty Oxygen and Medical Equipment
Practice address
16322 County Road 30
Maple Grove, MN 55311-1207
Phone
(763) 494-4966
Fax
(763) 494-4977
NPI assigned
Feb 20, 2008
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LIBERTY OXYGEN AND HOME CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Francis M Sheehy
Title
President / Owner
Phone
(952) 920-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5677949 MN Primary

Addresses

Primary practice location

16322 County Road 30
Maple Grove, MN 55311-1207

Mailing address

4820 Park Glen Rd
St Louis Park, MN 55416-5702
Phone (952) 920-0460

Other identifiers 5

IdentifierTypeStateIssuer
170158OtherMNUCARE
1030361OtherMNPREFERRED ONE
183427400MedicaidMN
79B05LIOtherMNBLUE CROSS BLUE SHIELD
83371OtherMNHEALTH PARTNERS

Other names 1

  • Liberty Oxygen and Medical Equipment Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.westund@libertyoxygen.com Direct

National Provider Directory

National Provider Directory
Part of
Liberty Oxygen and Home Care Inc

Locations

16322 County Road 30
Maple Grove, MN 55311

Interoperability endpoints

  • Direct secure messaging: jessica.westund@libertyoxygen.com

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1619145943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165702",
            "telephone_number": "952-920-0460",
            "fax_number": "952-920-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16322 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207",
            "telephone_number": "763-494-4966",
            "fax_number": "763-494-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY OXYGEN AND HOME CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY OXYGEN AND HOME CARE, INC",
        "enumeration_date": "2008-02-20",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "SHEEHY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "952-920-0460"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "5677949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "170158",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1030361",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183427400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "79B05LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "83371",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.westund@libertyoxygen.com",
            "affiliation": "N",
            "endpointDescription": "Business Operations Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16322 County Road 30",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553111207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Liberty Oxygen and Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.