Liberation Cove

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LIBERATION COVE

Practice address

106 Thomson Ave
Paulsboro, NJ 08066-1519

Phone

(856) 803-9958

NPI assigned

Jan 30, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Melinda Taylor

Title

Owner

Phone

(856) 803-9958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1619475134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 THOMSON AVE",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661519",
            "telephone_number": "856-803-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THOMSON AVE",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661519",
            "telephone_number": "856-803-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATION COVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-803-9958",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Gregory Krinks, DDS, PA
• Maikutlo B Kebaetse, PH.D, P.T.
• John Gregory Krinks, D.D.S.
• Austin Lee, MS, LAT, ATC
• Ginny Li
• M & N Personal Care LLC
• Manor Care-West Deptford of Paulsboro NJ LLC
• Mending Cove LLC
• Erica M Milas, DO
• Nadia Mudasir, OTR

• Non-emergency Medical Transport (VAN) in Paulsboro, NJ
• Providers in Paulsboro, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.