LIBERTY FAMILY CARE LLC
NPI 1154098077
Nurse Practitioner - Psychiatric/Mental Health in Randallstown, MD

Active since August 27, 2021
8515 LIBERTY RD STE B, RANDALLSTOWN, MD 21133(410) 301-6767(410) 496-3121 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, Aug 27, 2021 (2 updates tracked since 2021).

About Liberty Family Care Llc NPPES

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

LIBERTY FAMILY CARE LLC (NPI 1154098077) is a healthcare organization registered as a psychiatric/mental health in Randallstown, Maryland and active in the NPI registry since August 2021. The organization lists Bolaji Olugboja, Owner, as its authorized official.

NPPES Registry Identity

NPI1154098077
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIBERTY FAMILY CARE LLC
Location Address8515 LIBERTY RD STE BRandallstown, MD 21133-4832
Mailing Address8515 Liberty Rd Ste BRandallstown, MD 21133-4832 · (410) 301-6767 · Fax (410) 496-3121
Fax(410) 496-3121
Organization SubpartNo
Authorized OfficialBolaji OlugbojaOwner · (410) 301-6767
Enumeration DateAugust 27, 2021
Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1154098077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
8515 LIBERTY RD STE B, Randallstown, MD 21133

Other Identifiers 1

OtherR210237MD · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
8515 LIBERTY RD STE B
RANDALLSTOWN, MD 21133

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 1154098077. It was assigned to this organization in the NPPES registry on August 27, 2021.

Where is Liberty Family Care LLC located?

Liberty Family Care LLC is located at 8515 Liberty Rd Ste B, 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 Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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.