NPIMap

Organization Active NPI

Liberty Resources Home Choices, LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1740799584
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
23213601 Issued in PA
Legal business name
LIBERTY RESOURCES HOME CHOICES, LLC
Practice address
112 N 8TH St Ste 600
Philadelphia, PA 19107-2422
Phone
(215) 634-2000
Fax
(215) 701-8759
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Fermina Maddox
Title
Executive Director
Phone
(215) 634-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 23213601 PA Primary

Addresses

Primary practice location

112 N 8TH St Ste 600
Philadelphia, PA 19107-2422

Mailing address

112 N 8TH St Ste 600
Philadelphia, PA 19107-2422
Phone (215) 634-2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740799584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 8TH ST STE 600",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072422",
            "telephone_number": "215-634-2000",
            "fax_number": "215-701-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 8TH ST STE 600",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072422",
            "telephone_number": "215-634-2000",
            "fax_number": "215-701-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RESOURCES HOME CHOICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "FERMINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-634-2000"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "23213601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.