Active NPI
Liberty Healthcare Group, LLC
Doing business as Louisburg Healthcare & Rehabilitation Center
- Skilled Nursing Facility
- Louisburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LIBERTY HEALTHCARE GROUP, LLC
- Doing business as
- Louisburg Healthcare & Rehabilitation Center
- Practice address
- 202 Smoketree Way
Louisburg, NC 27549-2165 - Phone
- (919) 496-2188
- NPI assigned
- Aug 2, 2019
- Last updated
- Aug 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph V Calcutt
- Title
- Cfo
- Phone
- (910) 812-3122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
202 Smoketree Way
Louisburg, NC 27549-2165
Mailing address
44 McNeill PLZ
Whiteville, NC 28472-8602
Other names 1
- Louisburg Healthcare & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200317000344 | NC | Part A Provider - Skilled Nursing Facility | 4587574355 | Practice locations: Louisburg, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1043865538. Details of each certification follow.
Skilled nursing facility certification: CCN 345358
- Legal name
- LIBERTY HEALTHCARE GROUP LLC
- Doing business as
- LOUISBURG HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 22, 1991
- Last certification
- Mar 6, 2025
- Beds
- 152 (92 certified)
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Liberty Healthcare
- Organization structure
- LLC
- Incorporated
- Jun 7, 2002 in NC
- Enrollment address
- 202 Smoketree Way
Louisburg, NC 27549-2165 - Nursing home name
- LOUISBURG HEALTHCARE & REHABILITATION CENTER
- Affiliated entity
- LIBERTY SENIOR LIVING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Louisburg Healthcare & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 22, 1991
- Medicare certification status
- Active
- Certified beds
- 92
- Chain
- Liberty Senior Living
- Penalties (3 years)
- 5
National Provider Directory
National Provider Directory- Tax ID family
- Liberty Nursing Services LLC
Organizations with this tax ID in the same state 20
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Liberty Commons Nsg & Rehab of Davie Co.
- Assisted Living Facility
- Whiteville, NC
- NPI 1043498173
-
dba Southwood Nursing and Retirement Center
- Skilled Nursing Facility
- Clinton, NC
- NPI 1043263981
-
dba Mary Gran Nursing Center
- Assisted Living Facility
- Clinton, NC
- NPI 1053454306
-
dba Liberty Commons NRC of Columbus County
- Skilled Nursing Facility
- Whiteville, NC
- NPI 1073656716
-
dba Liberty Commons NRC of Johnston County
- Skilled Nursing Facility
- Benson, NC
- NPI 1093858458
-
dba Liberty Home Care II, LLC
- Community Based Hospice Care Agency
- Smithfield, NC
- NPI 1124104757
-
dba Liberty Home Care , LLC
- Community Based Hospice Care Agency
- Morehead City, NC
- NPI 1003995937
-
dba Liberty Home Care, LLC
- Community Based Hospice Care Agency
- Raleigh, NC
- NPI 1013093921
-
dba Liberty Home Care II, LLC
- Home Health Agency
- Lumberton, NC
- NPI 1023063286
-
- Skilled Nursing Facility
- Fayetteville, NC
- NPI 1023481520
-
- Skilled Nursing Facility
- Chapel Hill, NC
- NPI 1033611959
-
- Skilled Nursing Facility
- Candler, NC
- NPI 1073034138
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Deidra Sykes | W-2 Managing Employee | Sep 5, 2023 | |
| Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Feb 1, 2020 | 24% |
| Jeffrey S. Wilson | Corporate Director | Feb 1, 2020 | |
| Operational/Managerial Control | Feb 1, 2020 | ||
| Liberty Healthcare Group LLC | 5% Or Greater Direct Ownership Interest | Feb 1, 2020 | 100% |
| John Albert McNeill | 5% Or Greater Indirect Ownership Interest | Feb 1, 2020 | 26% |
| Joseph V Calcutt | Operational/Managerial Control | Feb 1, 2020 | |
| Long Term Care Management Services LLC | Operational/Managerial Control | Feb 1, 2020 | 100% |
| Ronald Benjamin McNeill | 5% Or Greater Indirect Ownership Interest | Feb 1, 2020 | 26% |
| John a McNeill Jr 2012 Irrv TR | 5% Or Greater Indirect Ownership Interest | Feb 1, 2020 | 24% |
All facility ownership & control disclosures 28
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lee County Nursing and Rehabilitation Center, LLC | Skilled nursing facility | Indirect Ownership Interest (100%) | Apr 29, 2025 |
| Liberty Commons Nursing and Rehabiltation Center of Lee County LLC | Skilled nursing facility | Indirect Ownership Interest (100%) | Jun 6, 2025 |
| Liberty Healthcare Services of Golden Years Nursing Center LLC | Skilled nursing facility | Indirect Ownership Interest (100%) | Apr 1, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Johnston County | Skilled nursing facility | Indirect Ownership Interest (100%) | Apr 1, 2025 |
| Three Rivers Health and Rehabillitation Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jun 25, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Rowan County, LLC | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Indirect Ownership Interest (100%) |
Apr 4, 2025 Apr 4, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Wake County, LLC | Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
Jul 22, 2025 Apr 29, 2025 |
| Liberty Healthcare Services of Southwood Nursing Center LLC | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jun 25, 2025 |
| Liberty Healthcare Services of Mary Gran Nursing Center, LLC | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jun 25, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Matthews LLC | Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
Sep 29, 2025 Apr 1, 2025 |
| Shoreland Healthcare and Retirement Center | Skilled nursing facility | Adp of the SNF | Mar 23, 2026 |
| Liberty Commons Nursing and Rehabilitation Center of the Oaks LLC | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | May 1, 2011 |
| Summerstone Health and Rehab | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | May 1, 2012 |
| Woodlands Nursing and Rehabilitation Center | Skilled nursing facility | Indirect Ownership Interest (100%) | Apr 29, 2025 |
| Liberty Healthcare Group LLC | Skilled nursing facility | Indirect Ownership Interest | Apr 4, 2025 |
| Liberty Commons Nursing & Rehabilitation Center of Southport LLC | Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
May 30, 2025 Apr 29, 2025 |
| Parkview Health & Rehab Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 4, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Watauga County | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2019 |
| Liberty Commons Nursing and Rehabilitation Center of Yadkin County LLC | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
| Pinehurst Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 4, 2025 |
| Roxboro Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
| Elizabethtown Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Indirect Ownership Interest (100%) |
Mar 31, 2025 Mar 31, 2025 |
| Oak Forest Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Highland House Rehabilitation and Healthcare | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Sep 30, 2022 |
| Woodhaven Nursing Center | Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
Nov 20, 2024 Oct 1, 2023 |
| Silver Bluff | Skilled nursing facility | Indirect Ownership Interest (100%) | Sep 5, 2024 |
| The Preserve at Fairfield Glade | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Oct 1, 2025 |
| Liberty Home Care II LLC | Home health agency | 5% Or Greater Direct Ownership Interest | Jul 1, 2002 |
Facilities with the same owner 26
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Highland House Rehabilitation and Healthcare
- Skilled Nursing Facility
- Fayetteville, NC
- NPI 1811611577
John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust
-
dba Woodhaven Nursing Center
- Skilled Nursing Facility
- Lumberton, NC
- NPI 1053090092
John a McNeill Jr 2012 Irrv TR, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust
-
dba Southwood Nursing and Retirement Center
- Skilled Nursing Facility
- Clinton, NC
- NPI 1043263981
John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Long Term Care Management Services LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust
-
dba Liberty Commons Nursing and Rehabilitation Center of Halifax County
- Assisted Living Facility
- Weldon, NC
- NPI 1164476636
Long Term Care Management Services LLC
-
dba Capital Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Raleigh, NC
- NPI 1255385720
Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust
-
dba Liberty Commons Nursing and Rehabilitation Center of Alamance County
- Skilled Nursing Facility
- Burlington, NC
- NPI 1326089616
Long Term Care Management Services LLC
-
dba Liberty Commons Nursing and Rehabilitation Center of Matthews, LLC
- Skilled Nursing Facility
- Matthews, NC
- NPI 1336193754
Long Term Care Management Services LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust
-
dba Liberty Commons Nursing and Rehabilitation Center of Rowan County
- Skilled Nursing Facility
- Salisburg, NC
- NPI 1407800972
John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust
-
dba Liberty Commons Nursing and Rehabilitation Center of Columbus County
- Skilled Nursing Facility
- Whiteville, NC
- NPI 1538113014
Long Term Care Management Services LLC
-
dba Liberty Commons Nursing & Rehabilitation Center of Southport, LLC
- Skilled Nursing Facility
- Southport, NC
- NPI 1548770423
Long Term Care Management Services LLC
-
dba Mary Gran Nursing Center
- Skilled Nursing Facility
- Clinton, NC
- NPI 1720033475
John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust
-
dba Three Rivers Health and Rehabilitation Center
- Skilled Nursing Facility
- Windsor, NC
- NPI 1881648350
John a McNeill Jr 2012 Irrv TR, Liberty Healthcare Group LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1295798668
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564704000000",
"number": "1043865538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MCNEILL PLZ",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284728602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 SMOKETREE WAY",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492165",
"telephone_number": "919-496-2188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-02",
"last_updated": "2019-08-02",
"status": "A",
"authorized_official_last_name": "CALCUTT",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "910-812-3122"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Louisburg Healthcare & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.