LIBERTY HEALTHCARE GROUP, LLC (NPI# 1366529463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366529463 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE II, LLC |
| Practice Address |
300 W Pennsylvania Ave Southern Pines NC 28387-5445 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9106927587 |
| Practice Fax Number | 9102469885 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-12-22 |
| 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 | HOS3050 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 007CH | 01 |
| NC | 3421537 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Home Care II, 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 |
| 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 |
300 W PENNSYLVANIA AVE |
| City | SOUTHERN PINES |
| State | NC |
| Zip Code | 28387-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679528814 | Liberty Healthcare Group, LLC | Home Health | 300 W Pennsylvania Ave, Southern Pines, NC 28387-5445 | 2006-05-24 |
| 1902100506 | Katherine Leann Bailey | Occupational Therapist | 300 W Pennsylvania Ave, Southern Pines, NC 28387-5445 | 2010-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972028 | Wright and Associates X Dds Pa | Dentist | 10677 Nc Hwy 15-501, Southern Pines, NC 28387 | 2018-08-17 |
| 1821507294 | Brooke Ashley Thomas | Physical Therapist | 275 Pinehurst Ave Suite B, Southern Pines, NC 28387 | 2017-09-28 |
| 1497208987 | Laura Permelia Jackson | Specialist/Technologist | 3300 Airport Road, Southern Pines, NC 28387 | 2016-08-01 |
| 1164860417 | Monarch | Community/Behavioral Health | 1662 Richards St, Southern Pines, NC 28387 | 2013-06-10 |
| 1619313202 | Nicole Jacobs | Psychiatry & Neurology | 195 West Illinois Avenue, Attn: April Smith, Southern Pines, NC 28387 | 2013-05-22 |
| 1932458395 | Heather N Dunning | Social Worker | 230 Murray Hill Rd, Southern Pines, NC 28387 | 2012-08-31 |
| 1487948451 | Hugh Perry Gayman Jr. | Physical Therapist | 103 Gossman Dr, Southern Pines, NC 28387 | 2011-06-07 |
| 1083919245 | John Adam Petty | Chiropractor | 1295 Old Us 1, Suite F, Southern Pines, NC 28387 | 2011-01-20 |
| 1962704775 | Specialty Pharmacy-southern Pines LLC | Pharmacy | 735 S. Bennett St., Southern Pines, NC 28387 | 2010-11-30 |
| 1922317080 | At Home Senior Services, Inc. | Home Health | 340 Commerce Avenue, Suite 14-a Yadkin Plaza, Southern Pines, NC 28387 | 2010-10-06 |
| Find all providers in zip 28387 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 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 | SOUTHERN PINES |
| Zip Code | 28387 |
Please comment or provide details below to improve the information on LIBERTY HEALTHCARE GROUP, LLC.
| 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.