Liberty Home Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIBERTY HOME MEDICAL SUPPLY

Practice address

1904 Star Batt Dr
Rochester Hills, MI 48309-3711

Phone

(248) 844-9669

Fax

(248) 844-9651

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Michael Hayes, RN

Title

Director

Phone

(248) 844-9669

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992880462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20509 NORTHVILLE PARK PL",
            "address_2": "#2006",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672939",
            "telephone_number": "248-844-9669",
            "fax_number": "248-844-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093711",
            "telephone_number": "248-844-9669",
            "fax_number": "248-844-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOME MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-844-9669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "54OH228090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Levine, M.D.
• Simon Cary Levinson, M.A.
• Shaina Lewinski, DC
• Abigail M Lewis, MA, LPC, SCL
• Charles H Lewis, D.D.S.
• Phoebe Liebnau
• Erika Liechty, M.A. CCC-SLP
• Life in Balance Osteopathic Medical Center PLLC
• Lifeclinic Chiropractic of Michigan PLLC
• Lifestyle Rochester PC

• Durable Medical Equipment & Medical Supplies in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.