LIBERTY HEALTHCARE GROUP LLC (NPI# 1861446338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861446338 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP LLC |
| Other Organization Name | LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF LEE COUNTY |
| Practice Address |
310 Commerce Drive Sanford NC 27332 |
| Mailing Address |
2334 South 41st Street Liberty Healthcare Management Inc Wilmington NC 28403 |
| Practice Telephone | 9194992206 |
| Practice Fax Number | 9194991858 |
| 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 |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0613 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3415532 | 05 | |
| NC | 341612Z | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Commons Nursing and Rehabilitation Center of Lee County | 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 |
310 COMMERCE DRIVE |
| City | SANFORD |
| State | NC |
| Zip Code | 27332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| 1104817790 | Francesco Robert Olivito | Family Medicine | 4546 Nc Highway 87 South, Sanford, NC 27332 | 2005-11-02 |
| Find all providers in zip 27332 | ||||
| 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 |
|---|---|---|---|---|
| 1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
| 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 |
| 1447342209 | Mainehealth | Skilled Nursing Facility | 35 July Street, Sanford, ME 04073 | 2006-09-29 |
| 1811920267 | Sanford Health and Rehabilitation Co LLC | Skilled Nursing Facility | 2702 Farrell Rd, Sanford, NC 27330-6505 | 2006-07-09 |
| 1578567988 | Greenwood Nursing Care Center, Inc | Skilled Nursing Facility | 1142 Main St, Sanford, ME 04073-3614 | 2005-06-13 |
| 1992709596 | Fi-sanford Rehab, LLC | Skilled Nursing Facility | 950 S Mellonville Ave, Sanford, FL 32771-2237 | 2005-06-10 |
| 1528610433 | Pinnacle Group of Hudson Valley II LLC | Skilled Nursing Facility | 1142 Main St, Sanford, ME 04073-3614 | 2019-07-10 |
| 1356746549 | Christopher Smith, Psy.d., LLC. | Skilled Nursing Facility | 175 River Oaks Cir, Sanford, FL 32771-9321 | 2014-10-30 |
| 1356388441 | Central Florida Regional Hospital, Inc | Skilled Nursing Facility | 1401 W Seminole Blvd, Sanford, FL 32771-6737 | 2006-05-31 |
| Find all providers in SANFORD | ||||
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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.