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Liberty I, Llc
Home Health Agency in Tampa, Florida
NPI 1588616015

Liberty I, Llc is a Home Health Agency based in Jacksonville, FL. Liberty I, Llc practices in Tampa, FL. The NPI Number for Liberty I, Llc is 1588616015 and holds a License No. (Florida).

The current practice location address for Liberty I, Llc is 5810 W Cypress St Ste 5810-A, Tampa, FL and can be reached out via phone at 813-636-5017 and via fax at 813-282-1166.

Location: 5810 W Cypress St Ste 5810-A, Tampa, FL, 32256-0957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588616015
Provider Name
Liberty I, Llc
Credential
Provider Entity Type
Organization
Address
5810 W Cypress St Ste 5810-A, Tampa, FL, 32256-0957
Phone Number
813-636-5017
Fax Number
813-282-1166
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10D1011161 01 FL CLIA WAIVER ID
299992257 01 FL AHCA STATE LICENSE
111117900 05 FL
299991756 01 FL AHCA STATE LICENSE
299992984 01 FL AHCA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5810 W Cypress St Ste 5810-A
City
Tampa
State
Florida
Zip
33607-1780
Phone Number
813-636-5017
Fax Number
813-282-1166
person
Provider Business Mailing Address Details
Address
5810 W Cypress St Ste 5810-A
City
Tampa
State
Florida
Zip
33607-1780
Phone Number
813-636-5017
Fax Number
813-282-1166
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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