Provider Demographics
NPI:1639041205
Name:ORCHARD LIBERTY CARE LLC
Entity type:Organization
Organization Name:ORCHARD LIBERTY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-221-2914
Mailing Address - Street 1:10987 BREN RD E UNIT B406
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-2038
Mailing Address - Country:US
Mailing Address - Phone:612-221-2914
Mailing Address - Fax:
Practice Address - Street 1:10987 BREN RD E UNIT B406
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-2038
Practice Address - Country:US
Practice Address - Phone:612-221-2914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health