NPIMap

Organization Active NPI

Liberty Adult Foster Care, LLC

  • Foster Care Agency
  • Holyoke, MA
National Provider Identifier
1821883703
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
LIBERTY ADULT FOSTER CARE, LLC
Practice address
187A High St
Holyoke, MA 01040-6504
Phone
(413) 539-1479
Fax
(413) 875-6009
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Marc R Beaulieu, RN
Title
Owner
Phone
(413) 539-1479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

187A High St
Holyoke, MA 01040-6504

Mailing address

187A High St
Holyoke, MA 01040-6504
Phone (413) 539-1479

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1821883703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187A HIGH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406504",
            "telephone_number": "413-539-1479",
            "fax_number": "413-875-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187A HIGH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406504",
            "telephone_number": "413-539-1479",
            "fax_number": "413-875-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ADULT FOSTER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-539-1479",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.