NPIMap

Organization Active NPI

Liberty Healthcare Servises Inc.

  • Home Health Agency
  • Mableton, GA
National Provider Identifier
1851662993
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
033-R-0804 Issued in GA
Legal business name
LIBERTY HEALTHCARE SERVISES INC.
Practice address
6281 Vinings Vintage Dr
Mableton, GA 30126-7202
Phone
(770) 630-5721
Fax
(770) 485-7340
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Eucharia Ifeoma Duru
Title
RN/Administrator
Phone
(770) 630-5721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 033-R-0804 GA Primary
Nursing Care Agency 251J00000X 033-R-0804 GA

Addresses

Primary practice location

6281 Vinings Vintage Dr
Mableton, GA 30126-7202

Mailing address

6281 Vinings Vintage Dr
Mableton, GA 30126-7202
Phone (770) 630-5721

National Provider Directory

National Provider Directory
Tax ID family
Liberty Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1851662993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 VININGS VINTAGE DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267202",
            "telephone_number": "770-630-5721",
            "fax_number": "770-485-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6281 VININGS VINTAGE DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267202",
            "telephone_number": "770-630-5721",
            "fax_number": "770-485-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE SERVISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "DURU",
        "authorized_official_first_name": "EUCHARIA",
        "authorized_official_middle_name": "IFEOMA",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "770-630-5721"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "033-R-0804",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "033-R-0804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.