LIBERTY HEALTHCARE GROUP, LLC (NPI# 1851477418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851477418 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE , LLC |
| Practice Address |
208 Beaman St Clinton NC 28328-2906 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 9105928367 |
| Practice Fax Number | 9105928360 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-05-01 |
| 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 | HOS3054 | 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1881636637 | Liberty Healthcare Group, LLC | Home Health | 1306 W Wendover Ave, Suite 100, Greensboro, NC 27408-8126 | 2006-06-12 |
| Street Address |
208 BEAMAN ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1942491964 | Tranquil Blessings Hospice, Inc. | Hospice Care, Community Based | 204 Brighton Dr, Clinton, MS 39056-5439 | 2007-08-05 |
| 1588797872 | Physician Hospice Care 2 LLC | Hospice Care, Community Based | 132 Fairmont St Ste F, Clinton, MS 39056-4721 | 2007-03-14 |
| 1366456535 | Clinton Home Health & Hospice, LLC | Hospice Care, Community Based | 514 Avant Ave, Clinton, OK 73601-3436 | 2006-07-27 |
| 1013313220 | Affinity Home Care LLC | Hospice Care, Community Based | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2014-11-16 |
| 1649412396 | Shepherd Home Health & Hospice LLC | Hospice Care, Community Based | 812 W Gary Blvd, Clinton, OK 73601-2720 | 2009-03-26 |
| 1205955226 | Committee of Concern, Inc. Dba Multi-county Youth Service | Hospice Care, Community Based | 600 Avant Ave, Clinton, OK 73601 | 2007-03-29 |
| 1659499895 | On Call Nursing of Nc Inc | Hospice Care, Community Based | 202 Sampson St, Clinton, NC 28328-2864 | 2007-03-26 |
| 1508948357 | Mercy Home Care & Hospice-clinton | Hospice Care, Community Based | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2006-10-20 |
| Find all providers in CLINTON | ||||
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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.