MEDICARE: LIBERTY BELL HOME CARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1629544283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBERTY BELL HOME CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	449 W DAUPHIN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2916
Country	:	US
Telephone Number	:	267-773-8177
Fax Number	:	267-861-0505

Provider Business Practice Location Address
First Line	:	449 W DAUPHIN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2916
Country	:	US
Telephone Number	:	267-773-8177
Fax Number	:	267-861-0505

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MRS. ANGELICA MARIE TAPIA
Credential	:
Telephone Number	:	267-773-8177

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	10/22/2018

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