LIBERTY HEALTHCARE GROUP, LLC


Address: 903 W Main St, Yadkinville, NC 27055-7807
Phone: 3366798863

LIBERTY HEALTHCARE GROUP, LLC (NPI# 1174178313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174178313
Entity Type Organization
Organization Name LIBERTY HEALTHCARE GROUP, LLC
Other Organization Name LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF YADKIN COUNTY
Practice Address 903 W Main St
Yadkinville
NC 27055-7807
Mailing Address 44 Mcneill Plz
Whiteville
NC 28472-8602
Practice Telephone 3366798863
Enumeration Date 2019-08-05
Last Update Date 2020-10-02
Authorized Official Name JOSEPH V CALCUTT (CFO)
Authorized Official Telephone 9108153122
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 310400000X Assisted Living Facility Nursing & Custodial Care Facilities
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Liberty Commons Nursing and Rehabilitation Center of Yadkin County Other Name - Individual/Organization
Yadkin Nursing Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629535455 Liberty Healthcare Group, LLC Skilled Nursing Facility 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 2019-02-28
1962832899 Liberty Healthcare Group, LLC Skilled Nursing Facility 10011 Providence Rd W, Charlotte, NC 28277-1561 2013-11-13
1891908687 Liberty Healthcare Group, LLC Assisted Living Facility 316 Nc Highway 801 S, Advance, NC 27006-7647 2007-05-08
1194894790 Liberty Healthcare Group, LLC Hospice Care, Community Based 44 Mcneill Plz, Whiteville, NC 28472-8602 2006-11-07
1003995937 Liberty Healthcare Group, LLC Hospice Care, Community Based 1206 Arendell Street, Morehead City, Nc 28557-4145, Morehead City, NC 28557-4145 2006-11-02
1801974555 Liberty Healthcare Group, LLC Hospice Care, Community Based 501 Doctors Drive, Elizabethtown, NC 28337-3146 2006-11-01
1730267105 Liberty Healthcare Group, LLC Hospice Care, Community Based 1005 Carthage Street, Sanford, NC 27331-0066 2006-11-01
1851477418 Liberty Healthcare Group, LLC Hospice Care, Community Based 208 Beaman St, Clinton, NC 28328-2906 2006-10-27
1083790638 Liberty Healthcare Group, LLC Hospice Care, Community Based 2563 Eric Ln Ste F, Burlington, NC 27215-4302 2006-10-27
1912920174 Liberty Healthcare Group, LLC Alzheimer Center (Dementia Center) 3045 Henderson Dr, Jacksonville, NC 28546-5247 2006-07-26

Office Location

Street Address 903 W MAIN ST
City YADKINVILLE
State NC
Zip Code 27055-7807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750358628 Yadkin Nursing Care Center, Inc. Skilled Nursing Facility 903 W Main St, Yadkinville, NC 27055-7807 2006-03-01
1437791829 Madeline Claire Huff Occupational Therapist 903 W Main St, Yadkinville, NC 27055-7807 2019-10-17
1104471549 Liberty Healthcare Group, LLC Assisted Living Facility 903 W Main St, Yadkinville, NC 27055-7807 2019-08-02
1750845616 Denny E Bischof Occupational Therapist 903 W Main St, Yadkinville, NC 27055-7807 2019-01-24
1851879597 Matthew A Cain Physical Therapy Assistant 903 W Main St, Yadkinville, NC 27055-7807 2018-08-03
1275056475 Thomas James Dunning Physical Therapy Assistant 903 W Main St, Yadkinville, NC 27055-7807 2017-07-19
1316475585 Julie Levie Winters Physical Therapist 903 W Main St, Yadkinville, NC 27055-7807 2017-05-31
1164967881 Anthony Sexton Physical Therapy Assistant 903 W Main St, Yadkinville, NC 27055-7807 2017-01-04
1295120913 Jennifer Trotter Occupational Therapist 903 W Main St, Yadkinville, NC 27055-7807 2015-03-31
1932535838 Audrey Nowlin Occupational Therapist 903 W Main St, Yadkinville, NC 27055-7807 2013-09-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972011484 Children's Center of Surry, Inc. Community/Behavioral Health 117 S Jackson St, Yadkinville, NC 27055 2018-01-18
1548651128 Express Care of Yadkin LLC Nurse Practitioner 755 South State Street, Yadkinville, NC 27055 2015-02-18
1437579331 Sarah Noe Nurse Practitioner 129 W Main Street, Yadkinville, NC 27055 2014-04-18
1306284674 Legacy Nursing Facility/Intermediate Care Facility 903 W Main Street, Yadkinville, NC 27055 2013-06-10
1730433731 Healthstat- Unifi Yadkinville Plant 5 Preventive Medicine 1032 Unifi Industrial Rd., Yadkinville, NC 27055 2012-10-30
1891012126 The Center-a Strategic Interventions Facility Community/Behavioral Health 1012 Glenway Dr, Yadkinville, NC 27055 2010-04-27
1316152143 Yadkin County Council On Aging, Inc. Health Maintenance Organization 108 E Elm Steet, Yadkinville, NC 27055 2007-05-14
1063633741 Susan L Sawyers Counselor Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 2007-05-01
1912026576 Yadkin County Dss Case Management 205 E. Main St, Yadkinville, NC 27055 2007-03-28
1992824429 Health Services Unlimited Inc. Home Health 105 S Jackson St, Yadkinville, NC 27055 2007-03-28
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629016340 Willowbrook Healthcare, LLC Skilled Nursing Facility 333 E Lee Ave, Yadkinville, NC 27055-8132 2006-06-03
1750358628 Yadkin Nursing Care Center, Inc. Skilled Nursing Facility 903 W Main St, Yadkinville, NC 27055-7807 2006-03-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164063756 Cary Senior Housing I Opco, LLC Skilled Nursing Facility 221 Brightmore Dr, Cary, NC 27518-8145 2019-10-04
1629535455 Liberty Healthcare Group, LLC Skilled Nursing Facility 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 2019-02-28
1871063214 Vero Health X, LLC Skilled Nursing Facility 417 Cloverdale Rd, Sylva, NC 28779-0679 2018-11-28
1821573809 Carolina Bay Healthcare Center of Wilmington, LLC Skilled Nursing Facility 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 2018-09-26
1093228397 Bellarose Nursing and Rehab Center, Inc. Skilled Nursing Facility 200 Bellarose Lake Way, Garner, NC 27529-7049 2017-11-08
1558872333 Brunswick Health & Rehab Center, LLC Skilled Nursing Facility 9600 No 5 School Rd Nw, Ash, NC 28420-2122 2017-10-19
1538684212 Eagle Acquisition Vi LLC Skilled Nursing Facility 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 2017-08-03
1982130811 Ashton Health and Rehabilitation, LLC Skilled Nursing Facility 5533 Burlington Rd, Mc Leansville, NC 27301-9622 2017-05-11
1831625037 Supplemental Healthcare Skilled Nursing Facility 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 2017-05-08
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
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Competitor

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City YADKINVILLE
Zip Code 27055

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Dataset Information

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.

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