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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | HC3694 | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3407242 | 05 | |
NC | BLUE CROSS BLUE SHIELD | 007CH | 01 |
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 |
601 S KINGS DR SUITE JJ |
City | CHARLOTTE |
State | NC |
Zip Code | 28204-2932 |
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 |
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 |
Find all providers in zip 28204 |
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 |
---|---|---|---|---|
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 |
Find all providers in CHARLOTTE |
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.