LIBERTY HEALTHCARE GROUP, LLC (NPI# 1629217856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629217856 |
| 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 | 9103629311 |
| Practice Fax Number | 9103431218 |
| Mailing Telephone | 9108153122 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| 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 | 251B00000X | Case Management | NORTH CAROLINA | NC | Agencies |
| Other Name | Type Code |
|---|---|
| Liberty Home Care, 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 |
2550 S 41ST ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245214 | Liberty Healthcare Group, LLC | Home Health | 2550 S 41st St, Wilmington, NC 28403-5519 | 2006-05-24 |
| 1134679012 | Staci Sithembile Harris | Nurse Practitioner | 2550 S 41st St, Wilmington, NC 28403-5519 | 2016-10-04 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067759 | Healing Hope Inc | Case Management | 3916 Oleander Dr Unit 4545, Wilmington, NC 28403-6758 | 2019-01-26 |
| 1720562754 | United Human Service | Case Management | 3227 Brookline Rd, Wilmington, DE 19808-2631 | 2018-09-15 |
| 1982154274 | Aci Support Specialists, Inc. | Case Management | 4040 Echo Farms Blvd, Wilmington, NC 28412-7384 | 2016-10-11 |
| 1447657713 | Aci Support Specialists | Case Management | 117 Talamore Ct, Wilmington, NC 28412-2343 | 2014-12-02 |
| 1841613775 | Urielpure Inc. | Case Management | One Commerce Center - 1201 Orange Street, #600, Wilmington, DE 19899 | 2014-01-29 |
| 1821419292 | Aci Support Specialists | Case Management | 1115 Wright St, Wilmington, NC 28401-5929 | 2014-01-02 |
| 1952730558 | Aci Support Specialists | Case Management | 5106 Hunters Trl, Wilmington, NC 28405-2302 | 2013-11-04 |
| 1477992139 | The Bair Foundation | Case Management | 3133 Wrightsville Avenue, Wilmington, NC 28403-2589 | 2013-06-17 |
| 1750720546 | Aci Support Specialists, Inc. | Case Management | 1015 Ashes Dr, Suite 107, Wilmington, NC 28405-8353 | 2013-06-14 |
| 1578868436 | Physician Alliance for Mental Health | Case Management | 4130 Oleander Drive, Suite 100, Wilmington, NC 28403-4423 | 2011-01-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.