LIBERTY HEALTHCARE GROUP, LLC (NPI# 1720080518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720080518 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE VI,LLC |
| Practice Address |
220 Smith Church Rd Bldg C Roanoke Rapids NC 27870-4914 |
| Mailing Address |
220 Smith Church Road Building C Roanoke Rapids NC 27870 |
| Practice Telephone | 2523080700 |
| Practice Fax Number | 2525371872 |
| Mailing Telephone | 2523080700 |
| Mailing Fax Number | 2525371872 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | MR. RONALD BENJAMIN MCNEILL (MANAGER) |
| Authorized Official Telephone | 9108153122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3407004 | 05 |
| Other Name | Type Code |
|---|---|
| Home Health and Hospc | Doing Business As Name - Organization |
| Home Health and Hospice of Halifax | Doing Business As Name - Organization |
| Liberty Home Care VI,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 |
220 SMITH CHURCH RD BLDG C |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275750598 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 220 Smith Church Rd Bldg C, Roanoke Rapids, NC 27870-4914 | 2007-04-19 |
| 1639183643 | Karen R Ballou | Psychiatry & Neurology | 220 Smith Church Rd Bldg C, Roanoke Rapids, NC 27870-4914 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| 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 |
|---|---|---|---|---|
| 1487118808 | Affinity Genesis Enterprises Inc | Home Health | 1015 Roanoke Ave Ste G, Roanoke Rapids, NC 27870-3721 | 2019-01-30 |
| 1043350176 | Angels of Mercy Home Health Care Inc | Home Health | 535 Becker Dr., Roanoke Rapids, NC 27870-3303 | 2007-02-07 |
| 1245379403 | A & D Home Health Care Agency | Home Health | 129 E 10th St, Roanoke Rapids, NC 27870-3818 | 2007-02-05 |
| 1114075454 | Healthcare Options, Inc. | Home Health | 413 Becker Dr, Roanoke Rapids, NC 27870-3301 | 2007-01-05 |
| 1841357456 | Wright Home Care Agency Inc. | Home Health | 117 Charles Cir, Roanoke Rapids, NC 27870-4806 | 2007-01-02 |
| 1225048861 | Carelink Home Health Services, LLC | Home Health | 527 Becker Dr, Roanoke Rapids, NC 27870-3303 | 2006-08-08 |
| 1376729558 | Wright Home Care Agency Inc. | Home Health | 1060 E 10th St, Roanoke Rapids, NC 27870-3006 | 2008-01-17 |
| 1033318225 | Health Care Options of The East, Inc. | Home Health | 413 Becker Dr, Roanoke Rapids, NC 27870-3301 | 2007-07-17 |
| 1598971566 | Interim Healthcare - Morris Group Inc | Home Health | 413 Becker Dr, Roanoke Rapids, NC 27870-3301 | 2007-05-15 |
| 1801002878 | Interim Healthcare - Morris Group Inc | Home Health | 413 Becker Dr, Roanoke Rapids, NC 27870-3301 | 2007-05-15 |
| Find all providers in ROANOKE RAPIDS | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
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.