LIBERTY HEALTHCARE GROUP, LLC (NPI# 1679528814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679528814 |
| 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 | 9102469882 |
| Practice Fax Number | 9102469885 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-05-24 |
| 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 | 251E00000X | Home Health | HC0002 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 007CH | 01 |
| NC | 3427024 | 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 |
|---|---|---|---|---|
| 1902100506 | Katherine Leann Bailey | Occupational Therapist | 300 W Pennsylvania Ave, Southern Pines, NC 28387-5445 | 2010-12-22 |
| 1366529463 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 300 W Pennsylvania Ave, Southern Pines, NC 28387-5445 | 2006-11-01 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922317080 | At Home Senior Services, Inc. | Home Health | 340 Commerce Avenue, Suite 14-a Yadkin Plaza, Southern Pines, NC 28387 | 2010-10-06 |
| 1699909358 | Tlh - Cap Services | Home Health | 132 Eastman Rd, Southern Pines, NC 28387-3002 | 2009-05-11 |
| 1083752166 | Tender Loving Health Care Services, Inc. | Home Health | 132 Eastman Road, Southern Pines, NC 28387-3002 | 2007-02-02 |
| 1033175419 | Lite House Inc | Home Health | 26 Pinecrest Plz, 126, Southern Pines, NC 28387-4301 | 2006-04-25 |
| 1730634320 | Cnc / Access, Inc. | Home Health | 292 Commerce Ave, Southern Pines, NC 28387-7059 | 2016-08-24 |
| 1942514377 | Shipman-southerpines | Home Health | 340 Commerce Ave, Suite 14-b, Southern Pines, NC 28387-7093 | 2010-07-27 |
| 1982838595 | Classic Care Cap Services | Home Health | 780 Nw Broad St, Suite 300, Southern Pines, NC 28387-4102 | 2009-05-11 |
| 1649432188 | Sandra's In Home Loving Care Inc | Home Health | 120 W Pennsylvania Ave, Southern Pines, NC 28387-5429 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831361 | Us Advocate Care LLC | Home Health | 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 | 2020-11-04 |
| 1376144683 | Eminent Caring Hands,llc | Home Health | 1501 Brookford Rd, Kernersville, NC 27284-9456 | 2020-11-03 |
| 1689275083 | Teddy Angels,llc | Home Health | 2575 Old Glory Rd Ste 620, Clemmons, NC 27012-9636 | 2020-11-03 |
| 1003416496 | Healing Heartsnc | Home Health | 1364 Hwy 211 West, Clarkton, NC 28433 | 2020-10-27 |
| 1467052688 | Vital Stability Home Care Services LLC | Home Health | 10130 Mallard Creek Rd Ste 338, Charlotte, NC 28262-6001 | 2020-10-27 |
| 1073112645 | Brothers Helping Hands of Nc | Home Health | 347 St Thomas Rd, Fayetteville, NC 28311-2966 | 2020-10-23 |
| 1063011724 | Andreas Family Services LLC | Home Health | 9700 Research Dr Ste 135e, Charlotte, NC 28262-8577 | 2020-10-22 |
| 1376140723 | A Lending Hand Home Care Services LLC | Home Health | 1922 S Mlk Jr Dr Ste 203, Winston Salem, NC 27107-1361 | 2020-10-07 |
| 1144827858 | Angelic Care Touch Inc | Home Health | 8601 Six Forks Rd Ste 400478, Raleigh, NC 27615-5276 | 2020-10-06 |
| 1710584529 | Christopher Amadi Amadi | Home Health | 8601 Six Forks Rd Ste 47886016, Raleigh, NC 27615-5276 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHERN PINES |
| Zip Code | 28387 |
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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.