Liberty Resources Health and Wellness, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

06670501 Issued in PA

Legal business name

LIBERTY RESOURCES HEALTH AND WELLNESS, LLC

Practice address

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

Phone

(215) 634-2000

NPI assigned

Feb 2, 2018

Organization subpart

No

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

Addresses

Locations

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1790284941",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RESOURCES HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "06670501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Home Care Services LLC
• Liberty in-Home Health Care LLC
• Liberty Medical Group PC
• Liberty Medical Response LLC.
• Liberty Pharmacy Inc
• Liberty Resources Home Choices, LLC
• Liberty Wheels, LLC
• Liberty Wheels, LLC
• Christian Alexander Libson, MD
• Daniel J Licht, M.D.

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.