LIBERTY HEALTHCARE GROUP LLC (NPI# 1164565412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164565412 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP LLC |
| Other Organization Name | SOUTHWOOD NURSING CENTER |
| Practice Address |
180 Southwood Dr Clinton NC 28328-5002 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9105928165 |
| Practice Fax Number | 9105926516 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9106428537 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | JOE CALCUTT (CFO) |
| Authorized Official Telephone | 9103321793 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0571 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 341609Z | 05 |
| Other Name | Type Code |
|---|---|
| Southwood Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039446 | Liberty Healthcare Group LLC | Home Health | 216 Church Street, W, Ahoskie, NC 27910 | 2018-07-02 |
| 1346403151 | Liberty Healthcare Group LLC | Assisted Living Facility | 2315 Hwy 242 N, Benson, NC 27504 | 2008-07-02 |
| 1710021779 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 4412 S Main St, Salisbury, NC 28147-9383 | 2007-02-16 |
| 1205979580 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 1403 Conner Dr, Windsor, NC 27983-8514 | 2007-02-15 |
| 1912040379 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 7348 N West St, Falcon, NC 28342-0040 | 2007-02-15 |
| 1194868679 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 3000 Holston Ln, Raleigh, NC 27610-2002 | 2007-02-15 |
| 1225171762 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Dr, Sanford, NC 27332-5400 | 2007-02-15 |
| 1598808065 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 714 Westover Dr, Sanford, NC 27330-8951 | 2007-02-15 |
| 1265575641 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 120 Southwood Dr, Clinton, NC 28328-5002 | 2007-02-15 |
| 1073656716 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 1402 Pinckney St, Whiteville, NC 28472-2221 | 2007-02-14 |
| Street Address |
180 SOUTHWOOD DR |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765058 | Frances Elizabeth Sutton | Family Medicine | 180 Southwood Dr, Clinton, NC 28328-5002 | 2018-06-27 |
| 1619597226 | Teresa Edwards Barnes | Registered Nurse | 180 Southwood Dr, Clinton, NC 28328-5002 | 2020-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1578927588 | Pineview Extended Care Centre, Inc. | Skilled Nursing Facility | 9016 Pine View Lane, Clinton, MD 20735-3229 | 2016-04-06 |
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| 1548465891 | Presbyterian Communities of South Carolina | Skilled Nursing Facility | 801 Musgrove St, Clinton, SC 29325-1752 | 2007-06-18 |
| 1265575641 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 120 Southwood Dr, Clinton, NC 28328-5002 | 2007-02-15 |
| 1477616183 | Arbor Place of Clinton Inc | Skilled Nursing Facility | 106 Padgett Dr, Clinton, KY 42031-1313 | 2006-12-18 |
| 1922172113 | United Methodist Retirement & Health Care Center, Inc. | Skilled Nursing Facility | 2316 W Modelle Ave, Clinton, OK 73601-3722 | 2006-11-20 |
| 1942372511 | Witham Memorial Hospital | Skilled Nursing Facility | 1705 S Main St, Clinton, IN 47842-2524 | 2006-11-15 |
| 1568567113 | Clinton Nursing Center, LLC | Skilled Nursing Facility | 2400 W Modelle Ave, Clinton, OK 73601-3724 | 2006-09-14 |
| 1033141015 | Clinton No 1 Inc | Skilled Nursing Facility | 1009 E Ohio St, Clinton, MO 64735-2455 | 2006-07-07 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.