Liberty Care LLC Dba Sovereign Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIBERTY CARE LLC DBA SOVEREIGN CARE SERVICES

Practice address

9411 Carlyle Dr Apt D
Indianapolis, IN 46240-3903

Phone

(317) 654-4609

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Nataya Cook, PMP

Title

Owner

Phone

(317) 654-4609

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sovereign Care Services Doing business as

Locations

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1831708395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250A W 86TH ST # 1264",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683605",
            "telephone_number": "317-654-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 CARLYLE DR APT D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403903",
            "telephone_number": "317-654-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CARE LLC DBA SOVEREIGN CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "NATAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-654-4609",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300079824",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sovereign Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liberation Ministries Inc
• Liberation Ministries Inc
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• Brianna M Liberio, M.D.
• Libertad Counseling
• Mathew J Libke, MD
• Amanda Liby, MS, CCC-SLP
• Aaron Lichlyter
• Emily C. Lichtenberg, M.S.
• Seth H Lichtenstein, MD

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.