Healthcare Provider Details

I. General information

NPI: 1285577676
Provider Name (Legal Business Name): LIBERTY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661B EMORY VALLEY RD
OAK RIDGE TN
37830-7763
US

IV. Provider business mailing address

661B EMORY VALLEY RD
OAK RIDGE TN
37830-7763
US

V. Phone/Fax

Practice location:
  • Phone: 865-350-6312
  • Fax:
Mailing address:
  • Phone: 865-350-6312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA BUCK
Title or Position: AREQA MANAGER
Credential:
Phone: 801-941-0480