Provider Demographics
NPI:1063007482
Name:LIBERTY CAREGIVERS LLC
Entity Type:Organization
Organization Name:LIBERTY CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATERYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYZIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-900-4001
Mailing Address - Street 1:1 NESHAMINY INTERPLEX DR STE 104C
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6953
Mailing Address - Country:US
Mailing Address - Phone:267-900-4001
Mailing Address - Fax:
Practice Address - Street 1:1 NESHAMINY INTERPLEX DR
Practice Address - Street 2:SUITE 104A
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6953
Practice Address - Country:US
Practice Address - Phone:267-900-4001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care