LIBERTY HEALTHCARE GROUP, LLC (NPI# 1578118089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578118089 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Practice Address |
114 Smoketree Way Louisburg NC 27549-2117 |
| Mailing Address |
44 Mcneill Plz Whiteville NC 28472-8602 |
| Practice Telephone | 9194966084 |
| Mailing Telephone | 9106420224 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | JOSEPH V CALCUTT (CFO) |
| Authorized Official Telephone | 9108153122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Louisburg Manor | 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 |
114 SMOKETREE WAY |
| City | LOUISBURG |
| State | NC |
| Zip Code | 27549-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669449542 | Trc of Louisburg, Inc. | Custodial Care Facility | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2006-03-01 |
| 1548721731 | Rachel Seagroves | Physical Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2019-03-29 |
| 1548738487 | Beatrice Wheeler Perry | Speech-Language Pathologist | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-11-08 |
| 1992297303 | Angela Belinda Williams | Physical Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-05-31 |
| 1093204711 | Todd Randall Baker | Physical Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-05-08 |
| 1972090579 | Kathryn Allen | Occupational Therapist | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-04-18 |
| 1215438627 | Amanda Gamel | Occupational Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2018-02-22 |
| 1871986117 | Ashley Gordon | Occupational Therapist | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2015-03-11 |
| 1366752990 | Joshua Garrison Hicks | Physical Therapy Assistant | 114 Smoketree Way, Louisburg, NC 27549-2117 | 2010-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
| 1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
| 1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
| 1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
| 1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
| 1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
| 1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
| 1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
| Find all providers in zip 27549 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114242906 | Oreze Medical Investors, LLC | Assisted Living Facility | 844 Nc 39 Hwy S, Louisburg, NC 27549-7114 | 2010-04-05 |
| 1639351703 | Divine Family Care Home | Assisted Living Facility | 113 Justice St, Louisburg, NC 27549-2331 | 2007-11-30 |
| 1881819050 | Zollieville Rest Home No2 Inc | Assisted Living Facility | 1437 East River Rd, Louisburg, NC 27549-8584 | 2007-04-14 |
| 1023172178 | Carolyn Newell | Assisted Living Facility | 90 E.f. Cottrell Rd, Louisburg, NC 27549-8664 | 2006-12-21 |
| 1871653733 | Carebridge Assisted Living | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2006-12-11 |
| 1588629448 | Vintage Park At Louisburg LLC | Assisted Living Facility | 202 S Rogers Rd, Louisburg, KS 66053-4064 | 2006-04-20 |
| 1992214084 | Southern Living for Seniors of Louisburg Nc | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2017-09-21 |
| 1891169009 | Cpf Senior Living - Louisburg LLC | Assisted Living Facility | 202 S Rogers Rd, Louisburg, KS 66053-4064 | 2015-11-25 |
| 1942622154 | Unity Medical Group, Inc. | Assisted Living Facility | 844 Nc Highway 39 S, Louisburg, NC 27549-7114 | 2014-01-08 |
| 1619241833 | Autumn Wind, Inc. | Assisted Living Facility | 361 Leonard Rd, Louisburg, NC 27549-8412 | 2012-03-06 |
| Find all providers in LOUISBURG | ||||
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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.