LIBERTY HEALTHCARE GROUP, LLC (NPI# 1194894790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194894790 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE , LLC |
| Practice Address |
44 Mcneill Plz Whiteville NC 28472-8602 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9106414095 |
| Practice Fax Number | 9106414097 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | MR. ANTHONY J. ZIZZAMIA JR. (PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9108153122 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HOS2007 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3411569 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 007A | 01 |
| Other Name | Type Code |
|---|---|
| Liberty Home Care , LLC | 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 |
| 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 |
| 1881636637 | Liberty Healthcare Group, LLC | Home Health | 1306 W Wendover Ave, Suite 100, Greensboro, NC 27408-8126 | 2006-06-12 |
| Street Address |
44 MCNEILL PLZ |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063056687 | Rachel Tedesco | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2019-11-06 |
| 1972050276 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-09-02 |
| 1184078651 | Freedom Therapy Services, LLC | Occupational Therapist | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-04-20 |
| 1639523764 | Liberty Healthcare Group, LLC | Assisted Living Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-04-14 |
| 1174920300 | Liberty Medical Care Services, LLC | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2014-12-03 |
| 1821366436 | Latricia Dail Chastain | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2011-12-09 |
| 1043498173 | Liberty Healthcare Group | Skilled Nursing Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316219280 | Community Home Care of Robeson County, LLC | Hospice Care, Community Based | 120 Premiere Plz, Whiteville, NC 28472-2522 | 2012-02-07 |
| 1508843319 | Assisting Angels, Inc. | Hospice Care, Community Based | 2378 Thompson Town Rd., Whiteville, NC 28472-5500 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099388 | Safe At Home Care, LLC | Hospice Care, Community Based | 1713 Sunset Rd, Charlotte, NC 28216-8778 | 2020-06-29 |
| 1669096855 | Gabbysco Home Care Agency, LLC | Hospice Care, Community Based | 153 Barclay Dr, Waxhaw, NC 28173-0065 | 2020-06-03 |
| 1396388468 | Hannah's Care Services | Hospice Care, Community Based | 1821 Jaya Dr, Sherrills Ford, NC 28673-7290 | 2019-10-22 |
| 1881255875 | Bayada Home Health Care, Inc. | Hospice Care, Community Based | 2550 Ravenhill Dr Ste 202, Fayetteville, NC 28303-9628 | 2019-06-21 |
| 1265908958 | Msa Home Health and Hospice of The Piedmont Inc | Hospice Care, Community Based | 665 Carver Dr Ste B, Roxboro, NC 27573-4580 | 2018-10-19 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1679081996 | Well Care Hospice, Inc | Hospice Care, Community Based | 5380 Us Highway 158 Ste 210, Advance, NC 27006-6974 | 2018-01-22 |
| 1831634179 | Msa Home Health and Hospice of Nc Inc | Hospice Care, Community Based | 514 Peterson Dr, Lumberton, NC 28358-2600 | 2016-12-22 |
| 1043677107 | Capital Care Resources, LLC | Hospice Care, Community Based | 1712 W Howard Ave, Tarboro, NC 27886-3409 | 2016-01-20 |
| 1265804298 | Healthaccess, Inc | Hospice Care, Community Based | 750 Kenansville Byp Ste B, Kenansville, NC 28349-9064 | 2015-10-29 |
| Find all providers with the same taxonomy | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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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.