LIBERTY HEALTHCARE GROUP LLC (NPI# 1629156872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629156872 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP LLC |
| Other Organization Name | LIBERTY HOME CARE , LLC |
| Practice Address |
1120 Ocean Hwy. West Supply NC 28462-4036 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9107548133 |
| Practice Fax Number | 9107542096 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-05-05 |
| 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 | 251G00000X | Hospice Care, Community Based | HOS2006 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 007A | 01 |
| NC | 3411569 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Home Care , LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039446 | Liberty Healthcare Group LLC | Home Health | 216 Church Street, W, Ahoskie, NC 27910 | 2018-07-02 |
| 1346403151 | Liberty Healthcare Group LLC | Assisted Living Facility | 2315 Hwy 242 N, Benson, NC 27504 | 2008-07-02 |
| 1710021779 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 4412 S Main St, Salisbury, NC 28147-9383 | 2007-02-16 |
| 1205979580 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 1403 Conner Dr, Windsor, NC 27983-8514 | 2007-02-15 |
| 1912040379 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 7348 N West St, Falcon, NC 28342-0040 | 2007-02-15 |
| 1194868679 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 3000 Holston Ln, Raleigh, NC 27610-2002 | 2007-02-15 |
| 1225171762 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Dr, Sanford, NC 27332-5400 | 2007-02-15 |
| 1598808065 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 714 Westover Dr, Sanford, NC 27330-8951 | 2007-02-15 |
| 1265575641 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 120 Southwood Dr, Clinton, NC 28328-5002 | 2007-02-15 |
| 1073656716 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 1402 Pinckney St, Whiteville, NC 28472-2221 | 2007-02-14 |
| Street Address |
1120 OCEAN HWY. WEST |
| City | SUPPLY |
| State | NC |
| Zip Code | 28462-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528193539 | Liberty Nursing Services, LLC | Nursing Care | 1120 Ocean Hwy. West, Supply, NC 28462-4036 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910943 | Lisa M Jock | Technician | 1276 Skipper Run Sw, Supply, NC 28462 | 2019-09-09 |
| 1023532686 | Novant Health Brunswick Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 13 Medical Campus Drive, Suite 101, Supply, NC 28462 | 2017-07-26 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| 1831461920 | Reginald Lofton Hewett | Counselor | 1473 Cedar Grove Rd, Supply, NC 28462 | 2012-02-03 |
| 1760793343 | Coastal Hearing Centers, Inc | Clinic/Center | 2298 Ocean Hwy, Supply, NC 28462 | 2010-06-29 |
| 1083943567 | Lorell Sneeden Pait | Nurse Practitioner | 795 Ocean Highway West, Supply, NC 28462 | 2009-12-14 |
| 1043451321 | Well Care Home Care | Home Health | 118 Ocean Highway West, Supply, NC 28462 | 2009-03-16 |
| 1467672873 | South Atlantic Radiation Oncology, LLC | Clinic/Center | 545 Ocean Highway West, Supply, NC 28462 | 2007-04-26 |
| 1225177702 | Barbara C Bauer | Counselor | 1041 Old Ocean Highway, Supply, NC 28462 | 2007-02-05 |
| 1891852323 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1120 Ocean Hwy West, Supply, NC 28462 | 2007-01-03 |
| Find all providers in zip 28462 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099388 | Safe At Home Care, LLC | Hospice Care, Community Based | 1713 Sunset Rd, Charlotte, NC 28216-8778 | 2020-06-29 |
| 1669096855 | Gabbysco Home Care Agency, LLC | Hospice Care, Community Based | 153 Barclay Dr, Waxhaw, NC 28173-0065 | 2020-06-03 |
| 1396388468 | Hannah's Care Services | Hospice Care, Community Based | 1821 Jaya Dr, Sherrills Ford, NC 28673-7290 | 2019-10-22 |
| 1881255875 | Bayada Home Health Care, Inc. | Hospice Care, Community Based | 2550 Ravenhill Dr Ste 202, Fayetteville, NC 28303-9628 | 2019-06-21 |
| 1265908958 | Msa Home Health and Hospice of The Piedmont Inc | Hospice Care, Community Based | 665 Carver Dr Ste B, Roxboro, NC 27573-4580 | 2018-10-19 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1679081996 | Well Care Hospice, Inc | Hospice Care, Community Based | 5380 Us Highway 158 Ste 210, Advance, NC 27006-6974 | 2018-01-22 |
| 1831634179 | Msa Home Health and Hospice of Nc Inc | Hospice Care, Community Based | 514 Peterson Dr, Lumberton, NC 28358-2600 | 2016-12-22 |
| 1043677107 | Capital Care Resources, LLC | Hospice Care, Community Based | 1712 W Howard Ave, Tarboro, NC 27886-3409 | 2016-01-20 |
| 1265804298 | Healthaccess, Inc | Hospice Care, Community Based | 750 Kenansville Byp Ste B, Kenansville, NC 28349-9064 | 2015-10-29 |
| Find all providers with the same taxonomy | ||||
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.