LIBERTY HEALTH SERVICES LLC
NPI 1568031615
Clinic/Center - Rehabilitation, Substance Use Disorder in Derry, NH

Active since June 23, 2021CLIA 30D2223268 · Waiver
29 ASHLEIGH DRIVE, DERRY, NH 03038(603) 216-0277 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Health Services Llc NPPES

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

LIBERTY HEALTH SERVICES LLC (NPI 1568031615) is a healthcare organization registered as a rehabilitation, substance use disorder in Derry, New Hampshire and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Brian Teague, Exec Director, as its authorized official.

NPPES Registry Identity

NPI1568031615
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameLIBERTY HEALTH SERVICES LLC
Location Address29 ASHLEIGH DRIVEDerry, NH 03038-3054
Mailing Address29 Ashleigh DriveDerry, NH 03038-3054
Organization SubpartNo
Authorized OfficialBrian TeagueExec Director · (781) 864-8349
Enumeration DateJune 23, 2021
NPPES CertifiedJune 4, 2021
NPI 1568031615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
29 ASHLEIGH DRIVE, Derry, NH 03038

Accepted Insurance

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 30D2223268

Liberty Health Services · Derry, NH
Active · expires May 4, 2027
CLIA Number30D2223268
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorBoris Golosarsky
Laboratory Phone(781) 864-8349
Laboratory LocationLiberty Health Services29 Ashleigh Dr, Derry, NH 03038
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health Services LLC's NPI number?

The NPI number for Liberty Health Services LLC is 1568031615. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Liberty Health Services LLC located?

Liberty Health Services LLC is located at 29 Ashleigh Drive, Derry, NH 03038. The listed phone number is (603) 216-0277.

What is Liberty Health Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Liberty Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2223268) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Health Services LLC accept?

Health plans from Harvard Pilgrim Health Care list Liberty Health Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Health Services LLC was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.