Liberty Healthcare Group LLC

A Medicare group practice based in Fayetteville, NC: 82 NPIs enrolled under one PECOS associate control ID (PAC ID 4587574355), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587574355The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
NC, SC
Enrollments
53
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
123In 47 places

Enrollment records 53

Enrollment IDStateProvider typeNPI
O20071011000235 NC Part A Provider - Home Health Agency 1497947410
O20071218000047 NC Part A Provider - Skilled Nursing Facility 1891908687
O20060111000259 NC Part A Provider - Skilled Nursing Facility 1720033475
O20060111000112 NC Part A Provider - Skilled Nursing Facility 1043263981
O20051215000857 NC Part A Provider - Skilled Nursing Facility 1255385720
O20060109000110 NC Part A Provider - Hospice 1275611766
O20060120000119 NC Part A Provider - Skilled Nursing Facility 1538113014
O20051215000448 NC Part A Provider - Skilled Nursing Facility 1407800972
O20051215000385 NC Part A Provider - Skilled Nursing Facility 1326089616
O20060123000773 NC Part A Provider - Skilled Nursing Facility 1336193754
O20051215000345 NC Part A Provider - Skilled Nursing Facility 1881648350
O20060109000376 NC Part A Provider - Hospice 1366529463
O20051215000293 NC Part A Provider - Skilled Nursing Facility 1669425401
O20060501000069 NC Part A Provider - Home Health Agency 1841245214
O20051118000579 NC Part A Provider - Skilled Nursing Facility 1912040379
O20051128000036 NC Part A Provider - Home Health Agency 1093761025
O20050818000200 NC Part A Provider - Skilled Nursing Facility 1164476636
O20050818000224 NC Part A Provider - Skilled Nursing Facility 1861446338
O20050818000157 NC Part A Provider - Skilled Nursing Facility 1891740544
O20050902000211 NC Part A Provider - Home Health Agency 1245271410
O20191216002218 NC Part A Provider - Hospice 1275750598
O20191216001807 NC Part A Provider - Home Health Agency 1720080518
O20210521001604 NC Part A Provider - Skilled Nursing Facility 1477146959
O20180924002634 NC Part A Provider - Home Health Agency 1376039446
O20180629001222 NC Part A Provider - Skilled Nursing Facility 1033611959
O20220406002851 NC Part A Provider - Hospice 1770059057
O20200322000048 NC Part A Provider - Skilled Nursing Facility 1588219828
O20200317001554 NC Part A Provider - Skilled Nursing Facility 1174178313
O20200318002370 NC Part A Provider - Skilled Nursing Facility 1467007856
O20200317000344 NC Part A Provider - Skilled Nursing Facility 1043865538
O20200321000039 NC Part A Provider - Skilled Nursing Facility 1104471531
O20200214001683 NC Part A Provider - Skilled Nursing Facility 1629535455
O20140219000135 NC Part A Provider - Skilled Nursing Facility 1962832899
O20140328002073 NC Part A Provider - Skilled Nursing Facility 1548696834
O20180430001979 NC Part A Provider - Skilled Nursing Facility 1548770423
O20180330000385 NC Part A Provider - Skilled Nursing Facility 1073034138
O20160420000939 NC Part A Provider - Skilled Nursing Facility 1023481520
O20161021002138 NC Part A Provider - Skilled Nursing Facility 1972050276
O20120711000335 NC Part A Provider - Skilled Nursing Facility 1710244827
O20091211000105 SC Part A Provider - Home Health Agency 1760437123
O20091211000237 NC Part A Provider - Home Health Agency 1669427951
O20091211000182 NC Part A Provider - Home Health Agency 1700832748
O20091211000449 NC Part A Provider - Home Health Agency 1700831369
O20091211000138 NC Part A Provider - Home Health Agency 1518912898
O20091211000163 NC Part A Provider - Home Health Agency 1881649887
O20100325000175 NC Part A Provider - Home Health Agency 1366498834
O20100325000044 NC Part A Provider - Home Health Agency 1134175672
O20100325000129 NC Part A Provider - Home Health Agency 1699721324
O20090204000238 NC Part A Provider - Home Health Agency 1679528814
O20090428000566 NC Part B Supplier - Clinic/Group Practice 1629217856
O20090512000647 NC Part A Provider - Home Health Agency 1023063286
O20120312000841 NC Part A Provider - Home Health Agency 1356396683
O20110527000261 NC Part A Provider - Skilled Nursing Facility 1881993079

NPIs in this group 82

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (7)
  • Southport, NC1
  • Ahoskie, NC1
  • Chapel Hill, NC1
  • Kernersville, NC1
  • Winston-Salem, NC1
  • Charlotte, NC1
  • North Myrtle Beach, SC1

Clinicians 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (9).

Sources for this page