Healthcare Provider Details

I. General information

NPI: 1629820683
Provider Name (Legal Business Name): LIBERTY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7479 GREAT WATERS LN
WEST CHESTER OH
45069-6317
US

IV. Provider business mailing address

7479 GREAT WATERS LN
WEST CHESTER OH
45069-6317
US

V. Phone/Fax

Practice location:
  • Phone: 513-604-9101
  • Fax:
Mailing address:
  • Phone: 513-604-9101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NAGWA TAHA
Title or Position: FUNDER & CEO
Credential:
Phone: 513-604-9101