LIBERTY CARE AGENCY, LLC (NPI# 1275813602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275813602 |
| Entity Type | Organization |
| Organization Name | LIBERTY CARE AGENCY, LLC |
| Practice Address |
5210 Aster Park Dr Apt 1712 Hamilton OH 45011-6300 |
| Practice Telephone | 5134979137 |
| Mailing Telephone | 5134979137 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |
| Authorized Official Name | ALFRED K BOBIE-FRIMPONG (DIRECTOR) |
| Authorized Official Telephone | 5134979137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
0902527 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3053243 | 05 |
| Street Address |
5210 ASTER PARK DR APT 1712 |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275125 | Amy Joy Knott | Clinic/Center | 761 N Freedom St, Ravenna, OH 44266-2470 | 2020-11-02 |
| 1063010676 | Melinda Annette Green | Clinic/Center | 22 Meadowbrook Ave, Boardman, OH 44512-2605 | 2020-10-15 |
| 1316404965 | Joyful Living Care | Clinic/Center | 4209 Secor Rd Apt 339, Toledo, OH 43623-4222 | 2019-03-01 |
| 1952881237 | Hh Direct Health Services LLC. | Clinic/Center | 14920 Grandview Ter, East Cleveland, OH 44112-2940 | 2018-08-16 |
| 1104367218 | Derek Engler | Clinic/Center | 1012 Mavor St, Springfield, OH 45505-2848 | 2017-03-09 |
| 1295166031 | Abc Therapy Ltd | Clinic/Center | 30 Rothrock Loop, Copley, OH 44321-1331 | 2013-12-04 |
| 1215101811 | Beth Rosner, Ph.d. LLC | Clinic/Center | 7644 Slate Ridge Blvd, Reynoldsburg, OH 43068-8159 | 2008-04-15 |
| 1194852749 | Brown County Board of Mental Retardation and Developmental Disabilitie | Clinic/Center | 325 W State St, Building A, Suite 2, Georgetown, OH 45121-1229 | 2007-02-28 |
| 1265578348 | Sara's Garden-the Sara Joy Rychener-burkholder Hyperbaric Center | Clinic/Center | 620 W Leggett St, Wauseon, OH 43567-1348 | 2007-01-29 |
| 1447851456 | The Goodwill Industries of Akron, Ohio, Inc. | Clinic/Center | 570 E Waterloo Rd, Akron, OH 44319-1223 | 2020-11-05 |
| 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.