Provider Demographics
NPI:1184510406
Name:LIBERTY CARE SERVICES INC
Entity type:Organization
Organization Name:LIBERTY CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIBERTY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARE SERVICES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-657-9674
Mailing Address - Street 1:5325 W 74TH ST STE 9
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2212
Mailing Address - Country:US
Mailing Address - Phone:952-657-9674
Mailing Address - Fax:952-487-5063
Practice Address - Street 1:5325 W 74TH ST STE 9
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2212
Practice Address - Country:US
Practice Address - Phone:952-657-9674
Practice Address - Fax:952-487-5063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care