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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: July 19, 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
Phone(603) 216-0277
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

What is LIBERTY HEALTH SERVICES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1568031615, enumerated as an "organization" on June 23, 2021.

Where is the provider located?

The provider is located at 29 ASHLEIGH DRIVE DERRY, NH 03038 and the phone number is (603) 216-0277.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

What insurance does LIBERTY HEALTH SERVICES LLC accept?

The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to verify.