LIBERTY HEALTHCARE GROUP, LLC (NPI# 1093761025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093761025 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE II, LLC |
| Practice Address |
3200 Spring Forest Rd Ste 201 Raleigh NC 27616-2812 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9198504303 |
| Practice Fax Number | 9198504304 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2009-04-20 |
| 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 | HC2562 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 007A | 01 |
| NC | 3407239 | 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 |
3200 SPRING FOREST RD STE 201 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27616-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013093921 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 3200 Spring Forest Rd Ste 201, Raleigh, NC 27616-2812 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1841791985 | George Solomon Edmond Sr. | Social Worker | 2700 Sumner Bldv Ste 142, Raleigh, NC 27616 | 2018-02-23 |
| 1366985194 | Kavita Joshi | Contractor | 3001 Spring Forest Road, Raleigh, NC 27616 | 2016-11-28 |
| 1447701701 | Nathaniel Byrams | Durable Medical Equipment & Medical Supplies | 5951 Poyner Village Parkway, Suite 101, Raleigh, NC 27616 | 2016-10-20 |
| 1760831424 | Courtney Lee Smith | Speech-Language Pathologist | 4804 Sinclair Dr, Raleigh, NC 27616 | 2016-06-03 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1609297209 | Vetted International, Ltd. | Ambulance | 6880 Perry Creek Road, Raleigh, NC 27616 | 2013-12-27 |
| 1437588324 | Lauren Primato | Counselor | 8645 Boysenberry Ln, Raleigh, NC 27616 | 2013-11-01 |
| 1275968729 | Rebecca Esliker | Counselor | 3200 Spring Forest Rd, Suite 214, Raleigh, NC 27616 | 2013-09-03 |
| Find all providers in zip 27616 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1336756964 | All Star Home Health Care Inc | Home Health | 2609 Atlantic Ave Ste 101a, Raleigh, NC 27604-1550 | 2020-09-28 |
| 1306450895 | Angels By Surprise LLC | Home Health | 319 Chapanoke Rd Ste 114a, Raleigh, NC 27603-3433 | 2020-09-02 |
| 1740890128 | Mother Deborah Home Health Services Inc | Home Health | 2421 Timber Dr Ste 207, Raleigh, NC 27604-2265 | 2020-07-31 |
| 1679199160 | Dependable Home Care Service | Home Health | 8308 Tierra Del Sol Way, Raleigh, NC 27616-3512 | 2020-06-19 |
| 1972126282 | Twins Loving Care Services, LLC | Home Health | 4909 Waters Edge Dr Ste 102, Raleigh, NC 27606-2462 | 2020-05-20 |
| 1669094413 | Stalwart Home Health LLC | Home Health | 814 Rock Quarry Rd, Raleigh, NC 27610-5000 | 2020-05-15 |
| 1053933010 | Allied Medical Care, LLC | Home Health | 2421 Timber Dr, Raleigh, NC 27604-2248 | 2020-05-13 |
| 1275155160 | All-shift Home Health Agency LLC | Home Health | 3316 Rock Quarry Rd, Raleigh, NC 27610-5114 | 2020-05-13 |
| Find all providers in RALEIGH | ||||
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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.