LIBERTY HOME HEALTH LLC (NPI# 1245650399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245650399 |
| Entity Type | Organization |
| Organization Name | LIBERTY HOME HEALTH LLC |
| Practice Address |
2021 Faben Dr Mercer Island WA 98040-2001 |
| Practice Telephone | 2068166507 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | MARK CAPUTO (MANAGER) |
| Authorized Official Telephone | 2062365001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053673657 | Liberty Home Health LLC | Home Health | 11811 N Tatum Blvd Ste 3031, Phoenix, AZ 85028-1621 | 2012-06-11 |
| Street Address |
2021 FABEN DR |
| City | MERCER ISLAND |
| State | WA |
| Zip Code | 98040-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1881237048 | Lisa Catherine Stewart | Social Worker | Mental Health & Addiction Services, 401 Broadway, Seattle, WA 98040 | 2019-10-21 |
| 1023520665 | Aca Wa Group Corp | Massage Therapist | 7605 Se 27th St, Suite 103, Mercer Island, WA 98040 | 2017-11-03 |
| 1699211995 | Wei Fan | Acupuncturist | 7605 Se 27th Street, Suite 103, Mercer Island, WA 98040 | 2017-01-10 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1609115641 | Richard Daifuku | Specialist | 9270 Se 36th Pl, Mercer Island, WA 98040 | 2013-02-12 |
| 1689937286 | Karin L. Miller | Social Worker | 9725 Se. 36 St. #301, Mercer Island, WA 98040 | 2012-06-19 |
| 1689947608 | Hector Cantu Aldape | Pathology | 7649 West Mercer Way, Mercer Island, WA 98040 | 2012-02-22 |
| Find all providers in zip 98040 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386883866 | Cormedical, Inc. | Home Health | 2811 75th Pl Se, # 101, Mercer Island, WA 98040-2778 | 2009-02-06 |
| 1720011638 | Maxim Healthcare Services, Inc. | Home Health | 9655 Se 36th St, Suite 210, Mercer Island, WA 98040-3798 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433481 | Malaika Home Care LLC | Home Health | 10518 N Russett Dr, Spokane, WA 99208-6729 | 2020-09-30 |
| 1619582632 | Flowing Water Venture Inc. | Home Health | 23453 16th Ave S Apt A304, Des Moines, WA 98198-8042 | 2020-09-15 |
| 1477163236 | Pnw Kupuna Care, LLC | Home Health | 203 S 4th Ave, Sequim, WA 98382-3719 | 2020-08-06 |
| 1538778295 | Eden Home Health of Clark County, LLC | Home Health | 4601 Ne 77th Ave Ste 300, Vancouver, WA 98662-6736 | 2020-07-29 |
| 1033736160 | Home Health Seattle LLC | Home Health | 19803 1st Ave S Ste 200, Normandy Park, WA 98148-2410 | 2020-07-06 |
| 1265053920 | Premier Care Services | Home Health | 13555 Ne Bel Red Rd Ste 113, Bellevue, WA 98005-2324 | 2020-05-04 |
| 1861011330 | Samuel Kihiu Njenga | Home Health | 3607 27th St Se, Puyallup, WA 98374-1716 | 2020-04-14 |
| 1972136745 | Tender Angels Home Care | Home Health | 11900 Ne 1st St Bldg G, Bellevue, WA 98005-3046 | 2020-02-19 |
| 1154953628 | Meliorahealthcare Pllc | Home Health | 17539 10th Ave Nw, Shoreline, WA 98177-3804 | 2020-02-12 |
| 1235786781 | Ahhpc, Inc. | Home Health | 907 W Boone Ave Ste B, Spokane, WA 99201-2503 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MERCER ISLAND |
| Zip Code | 98040 |
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| 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.