LIBERTY HEALTHCARE GROUP, LLC (NPI# 1548278948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548278948 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE AND HOSPICE |
| Practice Address |
1220 21st Ave N Myrtle Beach SC 29577-7401 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 8438392273 |
| Practice Fax Number | 8438392277 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-04-17 |
| 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 | HPC093 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 007A | 01 |
| SC | HSP072 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Home Care and Hospice | 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 |
1220 21ST AVE N |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861448086 | Christopher Andrew Borst | Family Medicine | 1220 21st Ave N, Myrtle Beach, SC 29577-7401 | 2006-05-26 |
| 1518381615 | Kristina Shinabery | Physician Assistant | 1220 21st Ave N, Myrtle Beach, SC 29577-7401 | 2014-02-10 |
| 1801901566 | Richard Grant Joslin | Family Medicine | 1220 21st Ave N, Myrtle Beach, SC 29577-7401 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285976712 | Homestead Hospice of Augusta, LLC | Hospice Care, Community Based | 215 Ronnie Court, Unit D, Myrtle Beach, SC 29579 | 2013-03-22 |
| 1457380586 | Heartland Hospice Services LLC | Hospice Care, Community Based | 2411 N Oak St, # 108, Myrtle Beach, SC 29577-3164 | 2006-07-01 |
| 1952350019 | Incare Home Health, Inc. | Hospice Care, Community Based | 4685 Highway 17 Byp S, Myrtle Beach, SC 29577-6681 | 2006-05-08 |
| 1760806319 | Lower Cape Fear Hospice Incorporated | Hospice Care, Community Based | 8216 Devon Ct, Myrtle Beach, SC 29572-4178 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557950 | Hospice Services of Sc, LLC | Hospice Care, Community Based | 233 West Ave, North Augusta, SC 29841-3813 | 2020-10-26 |
| 1437756467 | Hospice of The Upstate Inc | Hospice Care, Community Based | 1835 Rogers Road, Anderson, SC 29621-2278 | 2020-10-02 |
| 1952918534 | Virtuous Hospice, LLC | Hospice Care, Community Based | 104 W Liberty St, Sumter, SC 29150-5142 | 2020-09-28 |
| 1730727587 | Ardent Hospice & Palliative Care of Sc, Inc. | Hospice Care, Community Based | 910 Mount Gilead Rd Ste B3, Murrells Inlet, SC 29576-7790 | 2019-12-11 |
| 1366086670 | Heart of Hospice LLC | Hospice Care, Community Based | 115 Blarney Dr Ste 204, Columbia, SC 29223-6291 | 2019-10-30 |
| 1699316075 | Ghc-hilton Head, LLC | Hospice Care, Community Based | 65 Schinger Avenue, Suite 103, Ridgeland, SC 29936 | 2019-10-07 |
| 1609420413 | Vcare Hospice | Hospice Care, Community Based | 48 Saint Mark Rd, Taylors, SC 29687-5233 | 2019-07-30 |
| 1003471848 | Shiron Johnson | Hospice Care, Community Based | 410 W Liberty St Ste 202, Sumter, SC 29150-4865 | 2019-05-07 |
| 1962960054 | Regional Hospice Service | Hospice Care, Community Based | 9153 Two Notch Rd Ste 5, Columbia, SC 29223-5852 | 2019-03-07 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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.