Liberty Family Care LLC
NPI 1124640974 · Primary Care Nurse Practitioner · Randallstown, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Liberty Family Care LLC is a Primary Care Nurse Practitioner organization in Randallstown, MD (NPI 1124640974).
Provider details
- NPI number
- 1124640974
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Bolaji Olugboja, Dr.(410) 301-6767
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Liberty Family Care
Registry dates
- Enumerated
- 2020-05-15
- Last updated
- 2021-12-21
- Certified
- 2021-09-08
Frequently asked questions
- What is Liberty Family Care LLC's NPI number?
- Liberty Family Care LLC's National Provider Identifier (NPI) is 1124640974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Family Care LLC?
- Liberty Family Care LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Liberty Family Care LLC located?
- Liberty Family Care LLC's practice location on file with NPPES is 8515 Liberty Rd, Randallstown, MD 21133-4832.
- What is Liberty Family Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Family Care LLC is (410) 301-6767.
- Does Liberty Family Care LLC accept Medicare?
- Liberty Family Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Liberty Family Care LLC?
- The authorized official listed on Liberty Family Care LLC's NPPES record is Bolaji Olugboja, Dr.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Family Care LLC's NPI active?
- Yes — Liberty Family Care LLC's NPI (1124640974) is active in the NPPES registry as of the last update on 2021-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.