LIBERTY HEALTHCARE GROUP, LLC


Address: 601 S Kings Dr, Suite Jj, Charlotte, NC 28204-2932
Phone: 7049408389

LIBERTY HEALTHCARE GROUP, LLC (NPI# 1497947410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497947410
Entity Type Organization
Organization Name LIBERTY HEALTHCARE GROUP, LLC
Other Organization Name LIBERTY HOME CARE II, LLC
Practice Address 601 S Kings Dr
Suite Jj
Charlotte
NC 28204-2932
Mailing Address 2334 S 41st St
Wilmington
NC 28403-5502
Practice Telephone 7049408389
Practice Fax Number 7049408598
Mailing Telephone 9108153122
Mailing Fax Number 9108153111
Enumeration Date 2007-08-14
Last Update Date 2013-04-02
Authorized Official Name MR. ANTHONY J. ZIZZAMIA JR. (PRESIDENT)
Authorized Official Telephone 9108153122
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health HC3694 NC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 3407242 05
NC BLUE CROSS BLUE SHIELD 007CH 01

Other Provider/Organization Names

Other Name Type Code
Liberty Home Care II, LLC Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 601 S KINGS DR
SUITE JJ
City CHARLOTTE
State NC
Zip Code 28204-2932

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730298217 Procare Pharmacy, LLC Durable Medical Equipment & Medical Supplies 601 S Kings Dr, Charlotte, NC 28204-2932 2006-08-29
1427424365 Joseph Delsanto Hearing Instrument Specialist 601 S Kings Dr, Charlotte, NC 28204-2932 2015-08-14
1396157574 Myeyedr Optometry of North Carolina Pllc Optometrist 601 S Kings Dr, Suite Gg, Charlotte, NC 28204-2932 2014-05-22
1700125432 Wesley Senour Pope Chiropractor 601 S Kings Dr, Suite F, Charlotte, NC 28204-2932 2013-01-31
1821342346 Performance Rehab Associates, P.C. Physical Therapist 601 S Kings Dr, Suite F, Charlotte, NC 28204-3089 2012-11-06
1841504289 Shipman-charlotte Home Health 601 S Kings Dr, Ste Ee, Charlotte, NC 28204-2932 2010-07-27
1124345319 Crossing Paths, LLC Hearing Aid Equipment 601 S Kings Dr, Suite G, Charlotte, NC 28204-2932 2010-04-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1467052688 Vital Stability Home Care Services LLC Home Health 10130 Mallard Creek Rd Ste 338, Charlotte, NC 28262-6001 2020-10-27
1063011724 Andreas Family Services LLC Home Health 9700 Research Dr Ste 135e, Charlotte, NC 28262-8577 2020-10-22
1649882473 Ashers Enterprises Home Health 7010 Sycamore Grove Ct, Charlotte, NC 28227-3017 2020-08-21
1952926768 American Patriot Services LLC Home Health 3557 N Sharon Amity Rd Ste 202, Charlotte, NC 28205-8936 2020-06-08
1831713593 Ummah Care LLC Home Health 537 W Sugar Creek Rd Ste 202, Charlotte, NC 28213-6102 2020-05-28
1962022889 Essential Healthcare & Supplies Inc Home Health 3557 N Sharon Amity Rd Ste 100-102, Charlotte, NC 28205-8849 2020-04-21
1275161580 Londyn Homecare Agency L.l.c Home Health 1914j.n. Place, Charlotte, NC 28262 2020-03-31
1154953495 Loving Hearts Home Care One,l.l.c. Home Health 2925 E Independence Blvd Ste 224, Charlotte, NC 28205-7034 2020-02-05
1225669682 Dequincy Cornish Home Health 7506 E Independence Blvd Ste 112, Charlotte, NC 28227-9456 2020-02-03
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Competitor

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City CHARLOTTE
Zip Code 28204

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Dataset Information

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.

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