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).
| 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 |
| 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 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 |
| 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 |
| Street Address |
903 W MAIN ST |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-7807 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 27055 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
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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.