LIBERTY HEALTHCARE GROUP LLC (NPI# 1194868679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194868679 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP LLC |
| Other Organization Name | LIBERTY COMMONS NRC OF WAKE COUNTY |
| Practice Address |
3000 Holston Ln Raleigh NC 27610-2002 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9192316045 |
| Practice Fax Number | 9192310943 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9106428537 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOE CALCUTT (CFO) |
| Authorized Official Telephone | 9103321793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0268 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3446204 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Commons NRC of Wake County | 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 |
| 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 |
| 1629156872 | Liberty Healthcare Group LLC | Hospice Care, Community Based | 1120 Ocean Hwy. West, Supply, NC 28462-4036 | 2006-11-02 |
| Street Address |
3000 HOLSTON LN |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619212065 | Sheri Harris Matthews | Physical Therapist | 3000 Holston Ln, Raleigh, NC 27610-2002 | 2012-12-11 |
| 1912218371 | Laura Weslander | Physical Therapist | 3000 Holston Ln, Raleigh, NC 27610 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1619132024 | The Cypress of Raleigh Club, Inc. | Skilled Nursing Facility | 8710 Cypress Club Dr, Raleigh, NC 27615 | 2008-07-24 |
| 1780857557 | The Cypress of Raleigh, LLC | Skilled Nursing Facility | 9805 Strickland Rd, Raleigh, NC 27615-1942 | 2008-04-11 |
| 1538374343 | Rehabcare | Skilled Nursing Facility | 1500 Sawmill Rd, Raleigh, NC 27615-4320 | 2007-05-14 |
| 1689736936 | Mayview Convalescent Home, Inc. | Skilled Nursing Facility | 513 E Whitaker Mill Rd, Raleigh, NC 27608-2633 | 2006-12-14 |
| 1366529406 | Whitaker Glen, Inc. | Skilled Nursing Facility | 513 E Whitaker Mill Road, Raleigh, NC 27608-2699 | 2006-11-01 |
| 1356387153 | Everest Long Term Care, LLC | Skilled Nursing Facility | 3609 Bond St, Raleigh, NC 27604-3801 | 2006-06-21 |
| 1730136250 | Pruitthealth - Raleigh, LLC | Skilled Nursing Facility | 2420 Lake Wheeler Rd, Raleigh, NC 27603-2614 | 2006-05-29 |
| 1255385720 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 3000 Holston Lane, Raleigh, NC 27610 | 2006-05-20 |
| 1467421024 | Universal Health Care / Raleigh, Inc | Skilled Nursing Facility | 8200 Litchford Rd, Raleigh, NC 27615-4231 | 2006-03-16 |
| 1144299702 | Universal Health Care / North Raleigh, Inc | Skilled Nursing Facility | 5201 Clarks Fork Dr, Raleigh, NC 27616-5868 | 2006-03-16 |
| Find all providers in RALEIGH | ||||
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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.