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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
5300 ATLANTIC AVE STE 106G |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| 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] |
| 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 |
| Find all providers in RALEIGH | ||||
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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.