LIBERTY HEALTHCARE SERVICES, LLC PLUS
NPI 1043500432
Home Health in Lancaster, OH

Active since April 19, 2011CLIA 36D1078179 · Waiver
123 S BROAD ST STE 305, LANCASTER, OH 43130(614) 747-3356(740) 901-3028 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberty Healthcare Services, Llc Plus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY HEALTHCARE SERVICES, LLC PLUS (NPI 1043500432) is a healthcare organization registered as a home health in Lancaster, Ohio and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Viengkeo Bounemany, Owner, as its authorized official.

NPPES Registry Identity

NPI1043500432
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIBERTY HEALTHCARE SERVICES, LLC PLUS
Location Address123 S BROAD ST STE 305Lancaster, OH 43130-4304
Mailing Address123 S Broad St Ste 305Lancaster, OH 43130-4304 · (614) 747-3356 · Fax (614) 901-3028
Fax(740) 901-3028
Organization SubpartNo
Authorized OfficialViengkeo BounemanyOwner · (614) 747-3356
Enumeration DateApril 19, 2011
Last NPPES UpdateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
NPI 1043500432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in OH · 201108201462
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.
123 S BROAD ST STE 305, Lancaster, OH 43130

Other Names 1

Former Legal Business NameLiberty Healthcare Services, Llc Plus

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1078179

Liberty Healthcare Services · Lancaster, OH
Active · expires Sep 3, 2026
CLIA Number36D1078179
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorLinda D. Shelts
Laboratory Phone(740) 785-9010
Laboratory LocationLiberty Healthcare Services2682 Kull Rd, Lancaster, OH 43130
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
123 S BROAD ST STE 305
LANCASTER, OH 43130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Healthcare Services, LLC Plus's NPI number?

The NPI number for Liberty Healthcare Services, LLC Plus is 1043500432. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Liberty Healthcare Services, LLC Plus located?

Liberty Healthcare Services, LLC Plus is located at 123 S Broad St Ste 305, Lancaster, OH 43130. The listed phone number is (614) 747-3356.

What is Liberty Healthcare Services, LLC Plus's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Liberty Healthcare Services, LLC Plus hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1078179) is associated with this NPI, valid through September 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Healthcare Services, LLC Plus was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.