LIBERTY HEALTHCARE GROUP, LLC (NPI# 1275611766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275611766 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE , LLC |
| Practice Address |
2550 S 41st St Wilmington NC 28403-5519 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9103629311 |
| Practice Fax Number | 9103431218 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | MR. ANTHONY J. ZIZZAMIA JR. (MANAGER) |
| Authorized Official Telephone | 9108153122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HOS2008 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 007A | 01 |
| NC | 3411569 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Home Care , LLC | Other Name - Individual/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 |
2550 S 41ST ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245214 | Liberty Healthcare Group, LLC | Home Health | 2550 S 41st St, Wilmington, NC 28403-5519 | 2006-05-24 |
| 1134679012 | Staci Sithembile Harris | Nurse Practitioner | 2550 S 41st St, Wilmington, NC 28403-5519 | 2016-10-04 |
| 1629217856 | Liberty Healthcare Group, LLC | Case Management | 2550 S 41st St, Wilmington, NC 28403-5519 | 2009-02-11 |
| 1699800847 | Liberty Nursing Services, LLC | Nursing Care | 2550 S 41st St, Wilmington, NC 28403-5519 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1750661823 | Delaware Hospice, Inc. | Hospice Care, Community Based | 3515 Silverside Rd, Wilmington, DE 19810-4906 | 2011-08-22 |
| 1467579912 | General Healthcare Resources, Inc. | Hospice Care, Community Based | 5700 Kirkwood Hwy, Suite 203, Wilmington, DE 19808-4857 | 2007-03-22 |
| 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 | WILMINGTON |
| Zip Code | 28403 |
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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.