Liberty Family Care LLC
NPI 1124640974ActiveOrganization· Nurse Practitioner, Primary Care· Randallstown, MD
Nurse Practitioner, Primary Care in Randallstown, Maryland, registered in NPPES in May 2020. The authorized official on file is Bolaji O. Olugboja, DNP, Dr.
Overview
| NPI | 1124640974 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2020 |
| Last updated in NPPES | Dec 21, 2021 |
| Certified by provider | Sep 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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