Liberty Health Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0285908000 Issued in CT

Legal business name

LIBERTY HEALTH SUPPLIES, LLC

Practice address

650 Main St # 8
Monroe, CT 06468-2829

Phone

(203) 445-9343

Fax

(203) 445-9312

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William Fletcher

Title

President

Phone

(203) 445-9343

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Liberty Rehab & Patient Aid Center Doing business as

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1891967329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MAIN ST # 8",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682829",
            "telephone_number": "203-445-9343",
            "fax_number": "203-445-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN ST # 8",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682829",
            "telephone_number": "203-445-9343",
            "fax_number": "203-445-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTH SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-445-9343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "0285908000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235728",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Rehab & Patient Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward W Lenard, M.D.
• Rachel Beth Levitt, LPC
• Jamie Levy, R.D.
• Weronika Lewkowicz, ND
• Jerome Louis Liberatore, MSPT
• Bruce A Lichtenstein, DDS
• Life Healing Therapy, LLC Lauren M Fontana Sole MBR
• Little Monkey Speech and Feeding Therapy
• Denise Marie Loomis, PT
• Lorri Lea, MSW, LCSW, LLC

• Durable Medical Equipment & Medical Supplies in Monroe, CT
• Providers in Monroe, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.