Active NPI
Live Free Home Healthcare LLC
- Home Health Agency
- New Hampton, NH
National Provider Identifier
1790150985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04126
- Legal business name
- LIVE FREE HOME HEALTHCARE LLC
- Practice address
- 438 NH Route 104
New Hampton, NH 03256-4224 - Phone
- (603) 217-0149
- NPI assigned
- Dec 14, 2015
- Last updated
- Apr 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Phillips
- Title
- President
- Phone
- (847) 281-4860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 04126 | NH | Primary |
Addresses
Primary practice location
438 NH Route 104
New Hampton, NH 03256-4224
Mailing address
438 NH Route 104
New Hampton, NH 03256-4224
Phone (603) 217-0149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103364 | Medicaid | NH |
Other names 1
- BRIGGS ACQUISITION NEW HAMPSHIRE LLC
National Provider Directory
National Provider Directory- Tax ID family
- Briggs Acquisition New Hampshire LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Live Free Home HealthCare
- In Home Supportive Care Agency
- New Hampton, NH
- NPI 1295665255
Locations
438 NH Route 104
New Hampton, NH 03256
Phone (603) 217-0149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649894400000",
"number": "1790150985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 NH ROUTE 104",
"city": "NEW HAMPTON",
"state": "NH",
"postal_code": "032564224",
"telephone_number": "603-217-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 NH ROUTE 104",
"city": "NEW HAMPTON",
"state": "NH",
"postal_code": "032564224",
"telephone_number": "603-217-0149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE FREE HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-14",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-281-4860"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NH",
"license": "04126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3103364",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BRIGGS ACQUISITION NEW HAMPSHIRE LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in New Hampton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.