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LIBERTY CARE AGENCY LLC NPI 1275813602


NPI Information

NPI: 1275813602
Provider Name: LIBERTY CARE AGENCY, LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
5210 ASTER PARK DR APT 1712
HAMILTON, OH
ZIP 45011
Phone: (513) 497-9137
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LIBERTY CARE AGENCY, LLC is a developmental disabilities clinic center in Hamilton, OH. The provider is 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.). LIBERTY CARE AGENCY, LLC NPI is 1275813602. The provider is registered as an organization entity type.

The provider's business location address is:

5210 ASTER PARK DR APT 1712
HAMILTON, OH
ZIP 45011-300
Phone: (513) 497-9137

The provider's authorized official is Alfred K Bobie-frimpong .
The authorized official title is Director and has the following contact phone number (513) 497-9137.

The enumeration date for this NPI number is 8/17/2011 and was last updated on 8/17/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities0902527OHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13053243MEDICAIDOHIO

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: 5/5/2024

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