Provider Demographics
NPI:1861166464
Name:LIBERTY HOME CARE SERVICE, INC.
Entity type:Organization
Organization Name:LIBERTY HOME CARE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:YAGNESH
Authorized Official - Middle Name:T
Authorized Official - Last Name:HINGLOKWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-429-2152
Mailing Address - Street 1:33 WOOD AVE S STE 436
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2735
Mailing Address - Country:US
Mailing Address - Phone:732-592-2221
Mailing Address - Fax:732-256-8468
Practice Address - Street 1:33 WOOD AVE S STE 436
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2735
Practice Address - Country:US
Practice Address - Phone:732-592-2221
Practice Address - Fax:732-256-8468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health