LIBERTY HEALTHCARE GROUP, LLC (NPI# 1982774394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982774394 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE GROUP, LLC |
| Other Organization Name | LIBERTY HOME CARE II, LLC |
| Practice Address |
119 W Wade St Wadesboro NC 28170-2136 |
| Mailing Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Practice Telephone | 7046945992 |
| Practice Fax Number | 7046949627 |
| Mailing Telephone | 9108153122 |
| Mailing Fax Number | 9108153111 |
| Enumeration Date | 2006-11-09 |
| 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 | HOS3064 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 007CH | 01 |
| NC | 3421537 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Home Care II, 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 |
119 W WADE ST |
| City | WADESBORO |
| State | NC |
| Zip Code | 28170-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356396683 | Liberty Healthcare Group, LLC | Home Health | 119 W Wade St, Wadesboro, NC 28170-2136 | 2006-05-24 |
| 1437619590 | Norileen Rosales | Occupational Therapist | 119 W Wade St, Wadesboro, NC 28170-2136 | 2019-03-23 |
| 1821536699 | Carolina Community Behavioral Services LLC | Community/Behavioral Health | 119 W Wade St, Wadesboro, NC 28170-2136 | 2017-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736053 | A Shoulder To Lean On In Nc Inc. | Meals | 66 Dennis Road, Wadesboro, NC 28170 | 2020-06-26 |
| 1649772708 | Washington Family Health Care | Nurse Practitioner | 303 E View St Ste B, Wadesboro, NC 28170 | 2018-03-05 |
| 1487029658 | Kina Charles | Dietitian, Registered | 2031 Us Highway 74, Wadesboro, NC 28170 | 2015-12-14 |
| 1053718072 | Brown's Goldencare | Registered Nurse | 207 Morven Road, Wadesboro, NC 28170 | 2014-11-20 |
| 1346657608 | Danielle Xenia Perkins | Physician Assistant | 2301 U.S. Highway 74 W, Wadesboro, NC 28170 | 2014-07-18 |
| 1225443591 | Healthquest of Union County | Voluntary or Charitable | 2301 Us Highway 74, Wadesboro, NC 28170 | 2014-06-25 |
| 1659785418 | Mrs.bea's Day Program | Day Training, Developmentally Disabled Services | 1672 West Wall St, Wadesboro, NC 28170 | 2014-06-19 |
| 1083055990 | Arnette Waring | Counselor | 704 Old Liles Rd, Wadesboro, NC 28170 | 2013-07-09 |
| 1013269380 | County of Anson | Non-emergency Medical Transport (VAN) | 2485 Hwy 74 West, Wadesboro, NC 28170 | 2012-10-10 |
| 1003182841 | Al H. Covington, Od Pa | Optometrist | 310 N. Greene St., Wadesboro, NC 28170 | 2012-03-27 |
| Find all providers in zip 28170 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 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 | ||||
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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.