Provider Demographics
NPI:1821795105
Name:PALLIATIVE HOME CARE OF NIAGARA, INC DBA LIBERTY HOME CARE
Entity Type:Organization
Organization Name:PALLIATIVE HOME CARE OF NIAGARA, INC DBA LIBERTY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-274-5000
Mailing Address - Street 1:2424 NIAGARA FALLS BLVD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-4562
Mailing Address - Country:US
Mailing Address - Phone:716-274-5000
Mailing Address - Fax:716-216-8477
Practice Address - Street 1:2424 NIAGARA FALLS BLVD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-4562
Practice Address - Country:US
Practice Address - Phone:716-274-5000
Practice Address - Fax:716-216-8477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)