LIBERTY MEDICAL SERVICES LLC (NPI# 1114957826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114957826 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL SERVICES LLC |
| Practice Address |
5110 Plank Rd Baton Rouge LA 70805-3558 |
| Practice Telephone | 2253552050 |
| Practice Fax Number | 2253557266 |
| Mailing Telephone | 2253552050 |
| Mailing Fax Number | 2253557266 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | MR. BENJAMIN AMADI (CEO) |
| Authorized Official Telephone | 2253552050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
332BC3200X | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1465542 | 05 |
| Street Address |
5110 PLANK RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568718641 | Kennic Inc | Durable Medical Equipment & Medical Supplies | 12097 Old Hammond Hwy, Suite D4, Baton Rouge, LA 70816-8679 | 2012-07-26 |
| 1548568389 | Angel Zoe | Durable Medical Equipment & Medical Supplies | 9819 Cortana Pl, Baton Rouge, LA 70815-8510 | 2011-03-02 |
| 1942446828 | Liberty Healthcare Supply | Durable Medical Equipment & Medical Supplies | 5101 Florida Blvd, Baton Rouge, LA 70806-4126 | 2008-12-26 |
| 1366696619 | Greater Baton Rouge Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 7855 Howell Place Blvd Ste 210, Baton Rouge, LA 70807-5257 | 2008-11-13 |
| 1609919521 | Direct Meds Plus Inc | Durable Medical Equipment & Medical Supplies | 10319 Mammoth Ave, Baton Rouge, LA 70814-4425 | 2007-02-14 |
| 1639228745 | Tc Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 1821 Wooddale Ct Ste 101, Baton Rouge, LA 70806-1535 | 2007-01-09 |
| 1508882853 | Home Care Supply LLC | Durable Medical Equipment & Medical Supplies | 12232 Industriplex Blvd, Suite 19, Baton Rouge, LA 70809-7104 | 2006-07-13 |
| 1427028059 | Zeta Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 6032 Fieldstone Dr Ste A, Baton Rouge, LA 70809-4236 | 2006-01-25 |
| 1093367815 | The Mobility Depot, LLC | Durable Medical Equipment & Medical Supplies | 7931 One Calais Ave, Baton Rouge, LA 70809-3403 | 2019-07-11 |
| 1265840664 | Louisiana Dental Sleep Medicine Center, LLC | Durable Medical Equipment & Medical Supplies | 3138 Mcilhenny Dr, Baton Rouge, LA 70809-8655 | 2014-07-29 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
Please comment or provide details below to improve the information on LIBERTY MEDICAL SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.