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LIBERTY FAMILY CARE
NPI 1124640974
Nurse Practitioner - Primary Care in Randallstown, MD

Active since May 15, 2020
8515 LIBERTY RD, RANDALLSTOWN, MD 21133(410) 301-6767 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2021, Dec 24, 2020, May 15, 2020 (3 updates tracked since 2020).

About Liberty Family Care NPPES

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

LIBERTY FAMILY CARE (NPI 1124640974) is a healthcare organization registered as a primary care in Randallstown, Maryland and active in the NPI registry since May 2020. The organization lists Bolaji O Olugboja, Dr., as its authorized official.

NPPES Registry Identity

NPI1124640974
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLIBERTY FAMILY CARE LLC
Location Address8515 LIBERTY RDRandallstown, MD 21133-4832
Mailing Address8515 Liberty RdRandallstown, MD 21133-4832 · (410) 301-6767
Phone(410) 301-6767
Organization SubpartNo
Authorized OfficialBolaji O OlugbojaDr. · (410) 301-6767
Enumeration DateMay 15, 2020
Last NPPES UpdateDecember 21, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1124640974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
8515 LIBERTY RD, Randallstown, MD 21133
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Other Names 1

Other NameLiberty Family Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Family Care LLC's NPI number?

The NPI number for Liberty Family Care LLC is 1124640974. It was assigned to this organization in the NPPES registry on May 15, 2020. The provider is also known as Liberty Family Care.

Where is Liberty Family Care LLC located?

Liberty Family Care LLC is located at 8515 Liberty Rd, Randallstown, MD 21133. The listed phone number is (410) 301-6767.

What is Liberty Family Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Liberty Family Care LLC was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.