Liberty Oxygen and Home Care, Inc

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 & Medical Equipment

Practice address

1667 17TH Ave E Ste 102
Shakopee, MN 55379-4433

Phone

(952) 445-5454

Fax

(952) 445-5484

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

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

Addresses

Other identifiers 5

Other names 1

• Liberty Oxygen & Medical Equipment Doing business as

Electronic endpoints 1

Part of

Liberty Oxygen and Home Care Inc

Locations

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": "1700054038",
    "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": "1667 17TH AVE E STE 102",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794433",
            "telephone_number": "952-445-5454",
            "fax_number": "952-445-5484"
        }
    ],
    "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": "PREFERRED ONE",
            "identifier": "1030361",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183427400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "170158",
            "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.westlund@libertyoxygen.com",
            "affiliation": "N",
            "endpointDescription": "Business Operations Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1667 17th Ave E Ste 102",
            "city": "Shakopee",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553794433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Liberty Oxygen & Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• 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.