Organization Active NPI

Liberty Healthcare Services

  • Home Health Agency
  • Elmwood Park, NJ
National Provider Identifier
1760719140
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0103703 Issued in NJ
Legal business name
LIBERTY HEALTHCARE SERVICES
Practice address
495 Boulevard
Suite 1a
Elmwood Park, NJ 07407-2041
Phone
(201) 254-3076
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Mr. Kevin R Zepp
Title
President
Phone
(609) 890-0311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0103703 NJ Primary

Addresses

Primary practice location

495 Boulevard
Suite 1a
Elmwood Park, NJ 07407-2041

Mailing address

495 Boulevard
Suite 1a
Elmwood Park, NJ 07407-2041
Phone (201) 254-3076

National Provider Directory

National Provider Directory
Tax ID family
Liberty Healthcare Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1760719140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 BOULEVARD",
            "address_2": "SUITE 1A",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072041",
            "telephone_number": "201-254-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 BOULEVARD",
            "address_2": "SUITE 1A",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072041",
            "telephone_number": "201-254-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "ZEPP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-890-0311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0103703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.