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LIBERTY HEALTH SUPPLY INC NPI 1902855729


NPI Information

NPI: 1902855729
Provider Name: LIBERTY HEALTH SUPPLY, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1099 JAY ST
SUITE E
ROCHESTER, NY
ZIP 14611
Phone: (585) 235-1370
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LIBERTY HEALTH SUPPLY, INC is a durable medical equipment medical supplies in Rochester, NY. The provider is 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. LIBERTY HEALTH SUPPLY, INC NPI is 1902855729. The provider is registered as an organization entity type.

The provider's business location address is:

1099 JAY ST
SUITE E
ROCHESTER, NY
ZIP 14611-153
Phone: (585) 235-1370
Fax: (585) 235-1385

The provider's authorized official is Lisa Kozak .
The authorized official title is Office Manager and has the following contact phone number (585) 235-1370.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 10/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3335E00000XProsthetic/Orthotic SupplierNo
4332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11302050MEDICAIDRHODE ISLAND
2LHE109146OTHERNEW YORKEXCELLUS PROVIDER #
38201631OTHERNEW YORKEVERCARE
402068413MEDICAIDNEW YORK
5103644OTHERNEW YORKPREFERRED CARE PROVIDER #
6P0170059CMOTHERNEW YORKBLUE CHOICE PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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