LIBERTY HEALTHCARE GROUP, LLC (NPI# 1841245214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841245214 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE, LLC |
| Practice Address |
2550 S 41st St Wilmington NC 28403-5519 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9102518111 |
| Practice Fax Number | 9103431218 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-02-04 |
| 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 | HC0196 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3417001 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 007A | 01 |
| Other Name | Type Code |
|---|---|
| Liberty Home Care, LLC | Other Name - Individual/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 |
2550 S 41ST ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134679012 | Staci Sithembile Harris | Nurse Practitioner | 2550 S 41st St, Wilmington, NC 28403-5519 | 2016-10-04 |
| 1629217856 | Liberty Healthcare Group, LLC | Case Management | 2550 S 41st St, Wilmington, NC 28403-5519 | 2009-02-11 |
| 1699800847 | Liberty Nursing Services, LLC | Nursing Care | 2550 S 41st St, Wilmington, NC 28403-5519 | 2007-02-21 |
| 1275611766 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 2550 S 41st St, Wilmington, NC 28403-5519 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| 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 |
|---|---|---|---|---|
| 1811527849 | Bayada Home Health Care, Inc. | Home Health | 4250 Lancaster Pike Ste 310, Wilmington, DE 19805-1520 | 2020-01-17 |
| 1508405366 | Marie Francesse Dornevil | Home Health | 74 Salem St, Wilmington, MA 01887-1320 | 2019-12-26 |
| 1548811623 | Greenhill Home Health LLC. | Home Health | 2500 W 4th St Ste 1, Wilmington, DE 19805-3352 | 2019-09-20 |
| 1023665874 | Care At Home of Delaware, LLC | Home Health | 8 Kathlyn Ct, Wilmington, DE 19808-3818 | 2019-08-26 |
| 1730743410 | Trusted Home Health Care, Inc. | Home Health | 31029 Sea Sprite Dr, Wilmington, IL 60481-7701 | 2019-04-27 |
| 1689138323 | Polli Ann Henry | Home Health | 2671 W Us Highway 22 Lot 1, Wilmington, OH 45177-7659 | 2019-01-28 |
| 1124598156 | Caring Angels Homecare Agency, Inc. | Home Health | 1225 N King St Ste 300, Wilmington, DE 19801-3238 | 2018-12-03 |
| 1386123800 | Eleos Inc. | Home Health | 5 Middlesex Ave Unit 19, Wilmington, MA 01887-2745 | 2018-08-07 |
| 1629560354 | Bayada Home Health Care, Inc. | Home Health | 4250 Lancaster Pike Ste 308, Wilmington, DE 19805-1520 | 2018-05-30 |
| 1114443785 | Radnon Health Systems LLC | Home Health | 3906 Concord Pike Ste E1, Wilmington, DE 19803-1734 | 2017-08-16 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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.