Liberty Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010330 Issued in IL

Legal business name

LIBERTY HOME HEALTH CARE, INC.

Practice address

4411 W Lawrence Ave
Chicago, IL 60630-2510

Phone

(773) 777-7570

Fax

(773) 777-7694

NPI assigned

Dec 23, 2005

Last updated

May 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny Suvada

Title

Agency Administrator

Phone

(773) 777-7570

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841277506. Details of each certification follow.

• CCN 147825 Home health agency · Active · Details

Home health agency certification: CCN 147825

Legal name

LIBERTY HOME HEALTH CARE, INC.

Doing business as

LIBERTY HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 12, 2005

Last certification

Aug 8, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

4411 W Lawrence Ave
Chicago, IL 60630

Listed as

Liberty Home Health Care, IncCCN 147825 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Sep 12, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Islam Elboghdady, M.D.

  • Orthopaedic Surgery Physician
  • Naperville, IL
  • NPI 1043692585

  Home health agency

  Care Compare affiliation
• Steven E. Mather, M.D.

  • Orthopaedic Surgery Physician
  • Downers Grove, IL
  • NPI 1346236163

  Home health agency

  Care Compare affiliation
• Ashish Patel, M.D.

  • Orthopaedic Surgery Physician
  • Elmhurst, IL
  • NPI 1992077887

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1841277506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302510",
            "telephone_number": "773-777-7570",
            "fax_number": "773-777-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302510",
            "telephone_number": "773-777-7570",
            "fax_number": "773-777-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "SUVADA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "773-777-7570"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Liberatore, PSYD
• Matthew Liberatore, LCPC
• Colin Liberman, M.D.
• Liberti-Krishnan, PLLC
• Juliana Libertin
• Liberty Physical Therapy and Rehabilitation PC
• Liberty Physical Therapy, PC
• Liberty Therapy Inc
• Sarah Libfraind
• Mary Libhardt

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.