Liberty Healthcare Supply

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

LIBERTY HEALTHCARE SUPPLY

Practice address

5101 Florida Blvd
Baton Rouge, LA 70806-4126

Phone

(225) 925-1400

Fax

(225) 355-7266

NPI assigned

Dec 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Amadi

Title

President

Phone

(225) 925-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1942446828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064126",
            "telephone_number": "225-925-1400",
            "fax_number": "225-355-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064126",
            "telephone_number": "225-925-1400",
            "fax_number": "225-355-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-925-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1807915",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LG Pharmacy LLC
• Laura Ann Lherisson, PHD
• Bitu Li, RPH
• Trevin Lias
• Liberty Health Associates, LLC
• Liberty Medical Services LLC
• T Richard Lieux, MD
• Life Changing Counseling, LLC
• Life Enhancement Services of Louisiana Inc
• Life Fitness Therapy LLC

• Customized Equipment (DME) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.