1. Home
  2. Directory
  3. Ohio
  4. Toledo
  5. Home Health
  6. NPI Profile

LIBERTY PROVIDER LLC
NPI 1508338708
Home Health in Toledo, OH

Active since December 28, 2018
7110 W CENTRAL AVE STE A, TOLEDO, OH 43617(419) 517-7000 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberty Provider Llc NPPES

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

LIBERTY PROVIDER LLC (NPI 1508338708) is a healthcare organization registered as a home health in Toledo, Ohio and active in the NPI registry since December 2018. The organization lists William Timothy Bruck, Owner, as its authorized official.

NPPES Registry Identity

NPI1508338708
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIBERTY PROVIDER LLC
Location Address7110 W CENTRAL AVE STE AToledo, OH 43617-3118
Mailing Address7110 W Central Ave Ste AToledo, OH 43617-3118 · (419) 517-7000
Phone(419) 517-7000
Organization SubpartNo
Authorized OfficialWilliam Timothy BruckOwner · (734) 344-7331
Enumeration DateDecember 28, 2018
✔ NPI 1508338708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
7110 W CENTRAL AVE STE A, Toledo, OH 43617
Open in Google Maps ↗

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 Provider LLC's NPI number?

The NPI number for Liberty Provider LLC is 1508338708. It was assigned to this organization in the NPPES registry on December 28, 2018.

Where is Liberty Provider LLC located?

Liberty Provider LLC is located at 7110 W Central Ave Ste A, Toledo, OH 43617. The listed phone number is (419) 517-7000.

What is Liberty Provider LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Liberty Provider LLC was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.