LIBERTY RESOURCES, INC. (NPI# 1639729452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639729452 |
| Entity Type | Organization |
| Organization Name | LIBERTY RESOURCES, INC. |
| Practice Address |
1045 James St Syracuse NY 13203-2730 |
| Practice Telephone | 3154724471 |
| Mailing Telephone | 3154251004 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | KELLI HARRIS (CFO) |
| Authorized Official Telephone | 3154251004 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIBERTY RESOURCES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02994810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386948313 | Liberty Resources, Inc. | Community/Behavioral Health | 1850 County Route 57, Fulton, NY 13069-4908 | 2011-01-05 |
| 1972144772 | Liberty Resources, Inc. | Community/Behavioral Health | 1045 James St, Syracuse, NY 13203-2730 | 2019-10-02 |
| 1821485483 | Liberty Resources, Inc. | Clinic/Center | 1045 James St, Syracuse, NY 13203-2758 | 2015-04-22 |
| 1780012286 | Liberty Resources, Inc. | In Home Supportive Care | 149 S Main St, Cortland, NY 13045-2926 | 2013-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIBERTY RESOURCES, INC. | 1045 James Street, Syracuse, New York 13203 |
| Indiana Business Entities | LIBERTY RESOURCES, INC. | 1357 West Silver Creek Lane, Liberty, IN 47353 |
| Street Address |
1045 JAMES ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912153 | Alida Anne Dejong | Registered Nurse | 1045 James St, Syracuse, NY 13203-2730 | 2005-06-16 |
| 1326648395 | Liberty Resources Psychology, Physical, Occupational and Speech Therap | Early Intervention Provider Agency | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-29 |
| 1083211619 | Tracy L. Eckstrand | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-06 |
| 1306458070 | Amy Marie Ruetsch | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-23 |
| 1891306742 | Nichole Dawn Slate | Social Worker | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-13 |
| 1245849280 | Louis Shirley | Peer Specialist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-27 |
| 1083232367 | Melissa Louise Potter | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-13 |
| 1881221885 | Kirsten Melville | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-27 |
| 1699302380 | Jennifer Breau | Counselor | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-24 |
| 1679109771 | Lora M Denero | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598961419 | Syracusechemicaladdictiontreatment of Ks | Substance Abuse Rehabilitation Facility | 505 N Johnson, Syracuse, KS 67878-1008 | 2007-06-26 |
| 1265459945 | Crouse Health Inc. | Substance Abuse Rehabilitation Facility | 6010 E Molloy Rd, Syracuse, NY 13211-2131 | 2006-07-17 |
| 1609892280 | Helio Health, Inc. | Substance Abuse Rehabilitation Facility | 847 James St, Syracuse, NY 13203-2504 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
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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.