Provider Demographics
NPI:1164867081
Name:LIBERTY HOMECARE OPTIONS, LLC
Entity Type:Organization
Organization Name:LIBERTY HOMECARE OPTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/APRN
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVIVO CATALANO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-357-4112
Mailing Address - Street 1:26 HART ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1702
Mailing Address - Country:US
Mailing Address - Phone:860-357-4112
Mailing Address - Fax:860-357-4253
Practice Address - Street 1:26 HART ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1702
Practice Address - Country:US
Practice Address - Phone:860-357-4112
Practice Address - Fax:860-357-4253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000681251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health