Organization
LIBERTY HEALTH SUPPLIES LLC
Active
Organization
LIBERTY HEALTH SUPPLIES LLC
Active
Other names
Liberty Rehab & Patient Aid Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FLETCHER (PRESIDENT)
(203) 732-4269
Entity
Organization
Contact information
Practice address
49 PERSHING DR, DERBY, CT 06418-1437
(203) 732-4269
(203) 732-4062
Mailing address
49 PERSHING DR, DERBY, CT 06418-1437
(203) 732-4269
(203) 732-4062
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0285908
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12DME0968CT01
ANTHEM BLUE CROSS & BLUE SHIELD
CT
01
—
171441
WELLCARE OF CONNECTICUT
CT
01
—
2V6016
HEALTHNET
CT
01
—
772608
CONNECTICARE
CT
01
—
8202085
EVERCARE
CT
Enumeration date
02/16/2010
Last updated
02/16/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up