NPI Registry.org

Liberty Medical Care Services Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
LIBERTY MEDICAL CARE SERVICES LLC15585783692024-09-07

The organization Liberty Medical Care Services Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1558578369. Registration indicates Liberty Medical Care Services Llc is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) (Agencies, Home Health) (Home Health, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Home Health, Agencies)

Entity TypeOrganization
Provider OrganizationLIBERTY MEDICAL CARE SERVICES LLC
Practice Office Address1859 SPRINGFIELD AVE # 61
MAPLEWOOD, NJ US
Practice Office Telephone9737618900
Practice Office Fax9737614780
Mailing Address1453 SPRINGFIELD AVE # 61
MAPLEWOOD, NJ 070402403 US
Business Telephone9737618900
Business Fax9737614780
Authorized OfficialCONSTANCE OGUGUO, OWNER
9737618900
HPT Codes
CodePractice
License No
State
1041C0700X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Social Worker Clinical
Behavioral Health & Social Service Providers
Social Worker
251E00000X
Agencies
Home Health
Home Health

FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse

Home Health
Agencies
HP 0265700
NJ
193200000X MULTGroup Code
OPI Codes
0104442 MEDICAID NJ
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