LIBERTY COMMONS NURSING CENTER INC (NPI# 1861446270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861446270 |
| Entity Type | Organization |
| Organization Name | LIBERTY COMMONS NURSING CENTER INC |
| Other Organization Name | LIBERTY COMMONS NURSING AND REHABILITATION CENTER |
| Practice Address |
121 Racine Dr Wilmington NC 28403 |
| Mailing Address |
2334 South 41st St Wilmington NC 28403 |
| Practice Telephone | 9104524070 |
| Practice Fax Number | 9104521864 |
| Mailing Telephone | 9103321777 |
| Mailing Fax Number | 9108153114 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOE CALCUTT (CFO) |
| Authorized Official Telephone | 9103321793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 314000000X | Skilled Nursing Facility | NH0569 | NC | Nursing & Custodial Care Facilities |
| X | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0081U | 01 |
| NC | 340609F | 05 | |
| NC | 3405468 | 05 | |
| NC | 7804968 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Commons Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447394408 | Liberty Commons Nursing Center Inc | Skilled Nursing Facility | 121 Racine Dr, Wilmington, NC 28403-8705 | 2007-02-16 |
| 1083757561 | Liberty Commons Nursing Center Inc | Assisted Living Facility | 121 Racine Dr, Wilmington, NC 28403-8705 | 2007-02-15 |
| Street Address |
121 RACINE DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730413360 | Karen Jean Moore | Physical Therapist | 121 Racine Dr, Wilmington, NC 28403-8705 | 2009-09-30 |
| 1801038211 | Susan Greenwood Knopf | Occupational Therapy Assistant | 121 Racine Dr, Wilmington, NC 28403-8705 | 2009-03-31 |
| 1972745396 | Erin Galentine | Occupational Therapist | 121 Racine Dr, Wilmington, NC 28403-8705 | 2009-03-31 |
| 1447394408 | Liberty Commons Nursing Center Inc | Skilled Nursing Facility | 121 Racine Dr, Wilmington, NC 28403-8705 | 2007-02-16 |
| 1083757561 | Liberty Commons Nursing Center Inc | Assisted Living Facility | 121 Racine Dr, Wilmington, NC 28403-8705 | 2007-02-15 |
| 1730108796 | Freedom Therapy Services, LLC. | Physical Therapist | 121 Racine Dr, Wilmington, NC 28403-8705 | 2006-07-19 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1356849061 | South Bay Sunset Pavilion | Skilled Nursing Facility | 1565 Gulf Ave, Wilmington, CA 90744-2011 | 2018-01-28 |
| 1043603830 | Ronza Fouch | Skilled Nursing Facility | 1035 Linhof Rd, Wilmington, OH 45177-2915 | 2015-03-18 |
| 1841697422 | Cornelia Nixon Davis, Inc. | Skilled Nursing Facility | 83 Cavalier Dr., 200, Wilmington, NC 28405-4444 | 2014-11-26 |
| 1255682522 | Wrightsville Health Holdings, LLC | Skilled Nursing Facility | 3800 Independence Boulevard, Wilmington, NC 28412-2599 | 2012-09-27 |
| 1194028118 | Lutheran Home - Wilmington, Inc. | Skilled Nursing Facility | 631 Junction Creek Drive, Wilmington, NC 28412-2296 | 2010-12-14 |
| 1942342662 | Greenville Retirement Community L.L.C. | Skilled Nursing Facility | 4031 Kennett Pike, Wilmington, DE 19807-2047 | 2007-02-12 |
| 1447314794 | Jha Wilmington Inc. | Skilled Nursing Facility | 801 N Broom St, Wilmington, DE 19806-4624 | 2006-12-21 |
| 1225190572 | Embassy Care Center | Skilled Nursing Facility | 555 W Kahler Rd, Wilmington, IL 60481-1527 | 2006-12-14 |
| 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.