Provider Demographics
NPI:1790394344
Name:LIBERUM HOSPICE CARE, INC
Entity Type:Organization
Organization Name:LIBERUM HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:CANLAS
Authorized Official - Last Name:BERCES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-611-0757
Mailing Address - Street 1:13353 ALONDRA BLVD.
Mailing Address - Street 2:SUITE 200-H
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-7000
Mailing Address - Country:US
Mailing Address - Phone:888-611-0757
Mailing Address - Fax:888-611-0758
Practice Address - Street 1:13353 ALONDRA BLVD.
Practice Address - Street 2:SUITE 200-H
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-7000
Practice Address - Country:US
Practice Address - Phone:888-611-0757
Practice Address - Fax:888-611-0758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based