LIBERTY HEALTHCARE AGENCY, LLC


Address: 5300 Atlantic Ave Ste 106g, Raleigh, NC 27609-1123
Phone: 9196017672

LIBERTY HEALTHCARE AGENCY, LLC (NPI# 1386100873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386100873
Entity Type Organization
Organization Name LIBERTY HEALTHCARE AGENCY, LLC
Practice Address 5300 Atlantic Ave Ste 106g
Raleigh
NC 27609-1123
Mailing Address 5300 Atlantic Ave Ste 106g5300
Raleigh
NC 27609-1122
Practice Telephone 9196017672
Mailing Telephone 9196017672
Enumeration Date 2019-02-20
Last Update Date 2019-02-20
Authorized Official Name MAURICE CHUKWUDI EJERE SR. (DIRECTOR)
Authorized Official Telephone 9196017672
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care Agencies

Office Location

Street Address 5300 ATLANTIC AVE STE 106G
City RALEIGH
State NC
Zip Code 27609-1123

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1184235582 Choice Service Solutions LLC In Home Supportive Care 5300 Six Fox Rd Siite205, Raleigh, NC 27609 2020-08-11
1003426073 Rosana Oba -rovira Registered Nurse 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 2020-08-05
1821612706 Helen Alexandra Bonner Physical Medicine & Rehabilitation Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 2020-06-05
1215423579 Appiah Nana Larbi Social Worker Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 2018-07-10
1215423777 Broadway Home Care LLC In Home Supportive Care 107 Windel Dr Ste 105, Raleigh, NC 27609 2018-07-09
1275027948 Lacey Allene Cottingham Social Worker 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 2018-06-18
1447748819 Integrated Dermatology of North Raleigh, Pllc Dermatology 3809 Computer Dr Ste 200, Raleigh, NC 27609 2018-05-01
1902325418 Naomi Christine Askew Nurse Practitioner 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 2017-09-15
1962929679 Alexia Montague Social Worker 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 2017-08-23
1730602236 Chantel Washington-mbuthia Counselor 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 2017-07-18
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831715085 Isatou Camara Nursing Care 4009 Cane Garden Dr, Raleigh, NC 27610-5695 2020-06-23
1386115608 Extended Hearts Home Care, LLC Nursing Care 1100 Logger Ct # G-103c, Raleigh, NC 27609-8525 2018-12-14
1275965873 Care One Nursing Services Nursing Care 309 Chapanoke Rd, Suite 116, Raleigh, NC 27603-3431 2013-08-06
1730459561 Elite Travel Staffing Nursing Care 1300 Tribute Center Dr, #566, Raleigh, NC 27612-3214 2012-01-11
1508143603 Starhome Healthcare Nursing Care 1100 Logger Ct Bldg H, Raleigh, NC 27609-8525 2011-11-03
1932407707 Homewerks Home Care Nursing Care 1421 Silverling Way, Raleigh, NC 27613-6872 2011-03-03
1558519587 T.c.c. Group Incorporated Nursing Care 4601 Six Forks Rd, Suite 500, Raleigh, NC 27609-5287 2008-09-03
1558545343 Mother's Helper Home Healthcare, Inc. Nursing Care 5104a Oak Park Rd, Raleigh, NC 27612-3027 2007-12-28
1639350390 Trinity Health Services, Inc. Nursing Care 1008 Bullard Ct, Suite 203, Raleigh, NC 27615-6833 2007-11-21
1962698084 Impact Health Solutions Inc Nursing Care 3535 S Wilmington St Ste 204b, Raleigh, NC 27603-3512 2007-09-21
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Competitor

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City RALEIGH
Zip Code 27609

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Dataset Information

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.

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