Liberty Health Supply, Inc

LBN: Liberty Health Supply, Inc
Liberty Health Supply, Inc is an health care organization with primary practice located at 1099 Jay St Suite E, Rochester NY 14611-1153. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Liberty Health Supply, Inc can be contacted via phone (585) 235-1370, or through Kozak, Lisa via phone (585) 235-1370.

Contact Information

Primary practice address
1099 Jay St Suite E Rochester NY 14611-1153
Phone: (585) 235-1370
Fax: (585) 235-1385
Website:
Map and Directions
Authorized official contact:
Name: Kozak, Lisa
Phone: (585) 235-1370

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1902855729
LBN Legal business name Liberty Health Supply, Inc
DBA Doing business as
Authorized official Kozak, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Oct 7th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902855729 NPPES
Rhode Island MEDICAID 1302050
Rhode Island Other LHE109146
Rhode Island Other 8201631
Rhode Island MEDICAID 02068413
Rhode Island Other 103644
Rhode Island Other P0170059CM

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