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LIBERTY MEDICAL, LLC
NPI 1609864990
Durable Medical Equipment & Medical Supplies in Milford, MA

Active since October 11, 2005
89 MAIN STREET, SUITE 204, MILFORD, MA 01757(866) 202-2420(844) 363-4341 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2018, Mar 30, 2017, Dec 12, 2016 (3 updates tracked since 2016).

About Liberty Medical, Llc NPPES

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

LIBERTY MEDICAL, LLC (NPI 1609864990) is a healthcare organization registered as a durable medical equipment & medical supplies in Milford, Massachusetts and active in the NPI registry since October 2005. The organization lists Jonathan Black, President, as its authorized official.

NPPES Registry Identity

NPI1609864990
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLIBERTY MEDICAL, LLC
Location Address89 MAIN STREET, SUITE 204Milford, MA 01757-3141
Mailing Address8881 S Us Highway 1, Attn: Licensing DepartmentPort St Lucie, FL 34952-3401 · (772) 398-2122 · Fax (844) 363-4341
Phone(866) 202-2420
Fax(844) 363-4341
Organization SubpartYesParent: Liberty Medical Holdings, Llc
Authorized OfficialJonathan BlackPresident · (772) 398-2122
Enumeration DateOctober 11, 2005
Last NPPES UpdateMarch 23, 20183 updates tracked since enumeration
✔ NPI 1609864990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
89 MAIN STREET, Milford, MA 01757
Open in Google Maps ↗

Other Identifiers 4

Medicaid110020874EMA
Medicaid1024762540001PA
Medicaid1557308-01TX
Medicaid30703422NH

Other Providers at the Same Location NPPES

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

MRS. JANIS HELEN KORN MSW
Social Worker (Clinical)
89 MAIN STREET
MILFORD, MA 01757
Worcester County (508) 478-6725

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 Medical, LLC's NPI number?

The NPI number for Liberty Medical, LLC is 1609864990. It was assigned to this organization in the NPPES registry on October 11, 2005.

Where is Liberty Medical, LLC located?

Liberty Medical, LLC is located at 89 Main Street Suite 204, Milford, MA 01757. The listed phone number is (866) 202-2420.

What is Liberty Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Liberty Medical, LLC was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.