<Unavail>

LBN: Liberty I, Llc
<Unavail> is an health care organization with primary practice located at 5810 W Cypress St Ste 5810-A , Tampa FL 33607-1780. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Liberty I, Llc can be contacted via phone (813) 636-5017, or through Young, Robert G via phone (904) 733-1003.

Contact Information

Primary practice address
5810 W Cypress St Ste 5810-A Tampa FL 33607-1780
Phone: (813) 636-5017
Fax: (813) 282-1166
Website:
Map and Directions
Authorized official contact:
Name: Young, Robert G
Phone: (904) 733-1003

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1588616015
LBN Legal business name Liberty I, Llc
DBA Doing business as <Unavail>
Authorized official Young, Robert G
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Aug 24th, 2026 - about 2 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588616015 NPPES
Florida Other 10D1011161 CLIA WAIVER ID
Florida Other 299992257 CLIA WAIVER ID
Florida MEDICAID 111117900 CLIA WAIVER ID
Florida Other 299991756 CLIA WAIVER ID
Florida Other 299992984 CLIA WAIVER ID

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