LIBERTY RESIDENTIAL SERVICE, LLC (NPI# 1811439177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811439177 |
| Entity Type | Organization |
| Organization Name | LIBERTY RESIDENTIAL SERVICE, LLC |
| Other Organization Name | LIBERTY HOME CARE |
| Practice Address |
13801 Brown Branch Rd Laurel MD 20707-4906 |
| Practice Telephone | 2402818084 |
| Practice Fax Number | 2403995079 |
| Mailing Telephone | 2402818084 |
| Mailing Fax Number | 2403995079 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | MR. SALAH FATAH (ADMINISTRATOR) |
| Authorized Official Telephone | 2402818084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | R4005P | MD | Agencies |
| Other Name | Type Code |
|---|---|
| Liberty Home Care | Doing Business As Name - Organization |
| Street Address |
13801 BROWN BRANCH RD |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184475 | Spectra International | In Home Supportive Care | 10145 Deep Skies Dr, Laurel, MD 20723-5781 | 2020-11-08 |
| 1598389538 | Greatlight Homecare LLC | In Home Supportive Care | 9101 Cherry Ln Ste 110, Laurel, MD 20708-1150 | 2020-06-05 |
| 1255848362 | Accelerated Health Services | In Home Supportive Care | 15411 Arbory Way, Laurel, MD 20707-5521 | 2018-01-10 |
| 1841719382 | Rmb. LLC | In Home Supportive Care | 1989 Bush Dairy Rd, Laurel, MS 39443-9066 | 2017-09-15 |
| 1033666094 | Affordable Home Health Aide LLC | In Home Supportive Care | 8101 Sandy Spring Road, Suite 250-s, Laurel, MD 20707-5838 | 2016-09-07 |
| 1316371503 | Felicita Home Health Care Services | In Home Supportive Care | 6908 Scotch Dr, Laurel, MD 20707-5321 | 2013-08-25 |
| 1942577515 | Novena Healthcare Services LLC | In Home Supportive Care | 8235 Lyndhurst St, Laurel, MD 20724-1909 | 2011-11-25 |
| 1821304684 | Dalyon Miracle Nursing Agency & Services, Inc. | In Home Supportive Care | 11214 Snowden Pond Rd, Laurel, MD 20708-3063 | 2010-08-30 |
| 1144834516 | Caring Hearts & Helping Hands Home Care, LLC | In Home Supportive Care | 9260 Canterbury Riding, Laurel, MD 20723-1425 | 2020-09-03 |
| 1649803255 | Freeman Home Care Agency LLC | In Home Supportive Care | 367 Main St, Laurel, MD 20707-4131 | 2020-02-21 |
| Find all providers in LAUREL | ||||
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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.