LIBERTY HEALTH SUPPLY, INC (NPI# 1902855729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902855729 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTH SUPPLY, INC |
| Practice Address |
1099 Jay St Suite E Rochester NY 14611-1153 |
| Practice Telephone | 5852351370 |
| Practice Fax Number | 5852351385 |
| Mailing Telephone | 5852351370 |
| Mailing Fax Number | 5852351385 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | MS. LISA KOZAK (OFFICE MANAGER) |
| Authorized Official Telephone | 5852351370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 1302050 | 05 | |
| NY | EXCELLUS PROVIDER # | LHE109146 | 01 |
| NY | EVERCARE | 8201631 | 01 |
| NY | 02068413 | 05 | |
| NY | PREFERRED CARE PROVIDER # | 103644 | 01 |
| NY | BLUE CHOICE PROVIDER # | P0170059CM | 01 |
| Street Address |
1099 JAY ST SUITE E |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14611-1153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810312 | Bennett Ockun | Counselor | 1099 Jay St, Rochester, NY 14611-1153 | 2020-07-31 |
| 1699307413 | Ciara Scott | Peer Specialist | 1099 Jay St, Rochester, NY 14611 | 2020-02-10 |
| 1609408707 | Braden Johnson | Peer Specialist | 1099 Jay St, Rochester, NY 14611-1153 | 2020-02-06 |
| 1942840053 | Jamie M. Smith | Counselor | 1099 Jay St, Rochester, NY 14611-1153 | 2020-01-07 |
| 1437793916 | Desiree Gonzalez | Counselor | 1099 Jay St, Rochester, NY 14611-1153 | 2019-10-29 |
| 1528601374 | Meghan Vanhout | Counselor | 1099 Jay St, Rochester, NY 14611-1153 | 2019-10-24 |
| 1750922944 | Casey Anne Bardanis | Counselor | 1099 Jay St, Rochester, NY 14611-1153 | 2019-09-30 |
| 1912548108 | Cursti Neal | Counselor | 1099 Jay St, Rochester, NY 14611-1153 | 2019-09-30 |
| 1720647738 | Rachel Maria Mcgriff | Counselor | 1099 Jay St, Rochester, NY 14611-1153 | 2019-06-12 |
| 1215594262 | Jasmyne Barnett | Peer Specialist | 1099 Jay St, Rochester, NY 14611-1153 | 2019-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113874 | Brittany Desiree' James | Counselor | 601 Genesee Street, Rochester, NY 14611 | 2019-09-18 |
| 1629554456 | Burnagie Tafari Webbe | Licensed Practical Nurse | 49 Judson St, Rochester, NY 14611 | 2018-07-16 |
| 1194223917 | Caitlin Mucenski | Registered Nurse | 1099 Jay Street, Building J, Suite 202, Rochester, NY 14611 | 2018-01-26 |
| 1093233579 | Brittany Theresa Filip | Speech-Language Pathologist | Brittany Filip At Lincoln Park School No. 44, 820 Chili Avenue, Rochester, NY 14611 | 2017-09-05 |
| 1629591326 | Stacey D Mccloud | Licensed Practical Nurse | 55 Garfield St, Rochester, NY 14611 | 2017-07-25 |
| 1245685619 | Lilt Home Care | Home Health | 803 West Avenue, 353, Rochester, NY 14611 | 2016-05-04 |
| 1639539844 | Petrica Rouse | Dentist | 89 Genesee St Fl 2, Rochester, NY 14611 | 2016-03-01 |
| 1558737304 | People Inc. | Case Management | 835 W. Main Street, Rochester, NY 14611 | 2015-08-17 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1538567599 | Caring Hands Adl Inc | Home Health | 218 Garfield St., Rochester, NY 14611 | 2014-12-08 |
| Find all providers in zip 14611 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242525 | Wound Pros New York | Durable Medical Equipment & Medical Supplies | 510 Clinton Square, Rochester, NY 14604-1700 | 2019-12-13 |
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1710544838 | Antonio Calascibetta, Dds, Pllc | Durable Medical Equipment & Medical Supplies | 4178 W Henrietta Rd Ste B, Rochester, NY 14623-5224 | 2019-05-23 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1639696156 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1829 Chili Ave, Rochester, NY 14624-3237 | 2017-08-25 |
| 1477079648 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1436 W Ridge Rd, Rochester, NY 14615-2411 | 2017-08-18 |
| 1376067934 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 804 N Goodman St, Rochester, NY 14609-4639 | 2017-07-26 |
| 1366965741 | Stanley Robinson | Durable Medical Equipment & Medical Supplies | 14 Bardin St, Rochester, NY 14615-3520 | 2017-07-18 |
| 1578004099 | Thermapparel LLC | Durable Medical Equipment & Medical Supplies | 125 Tech Park Dr # 1100, Suite 2130, Rochester, NY 14623-2446 | 2017-03-16 |
| 1609314343 | University of Rochester | Durable Medical Equipment & Medical Supplies | 155 Bellwood Dr, Rochester, NY 14606-4226 | 2017-02-02 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on LIBERTY HEALTH SUPPLY, INC.
| 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.