Liberty Healthcare Group, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HPC-0112 Issued in SC

Legal business name

LIBERTY HEALTHCARE GROUP, LLC

Practice address

1307 Pine Log Road
Suite B
Aiken, SC 29803-9695

Phone

(803) 643-0001

Fax

(803) 649-0490

NPI assigned

Apr 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony J. Zizzamia Jr., RN

Title

President/Executive Director

Phone

(910) 815-3122

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Liberty Home Care and Hospice - Aiken Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1003879636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 S 41ST ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502",
            "telephone_number": "910-815-3122",
            "fax_number": "910-815-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 PINE LOG ROAD",
            "address_2": "SUITE B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298039695",
            "telephone_number": "803-643-0001",
            "fax_number": "803-649-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "ZIZZAMIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-0112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM",
            "identifier": "C683",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP088",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "570371732005",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Home Care and Hospice - Aiken",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Jeanne Lewis, MSPT
• Kimberly Lewis, DC
• Sherry Lewis, LPC, LPCS, LAC, LACS
• Willie J Lewis
• Liberty Doctors, LLC
• Liberty Healthcare Group, LLC
• Alicia Lightbourne
• Madison Lindsey
• Annette Forcier Lint
• Sherri Little, AU.D.

• Community Based Hospice Care Agency in Aiken, SC
• Providers in Aiken, SC by specialty
• Community Based Hospice Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.