NPIMap

Organization Active NPI

Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Roxboro, NC
National Provider Identifier
1104471531
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIBERTY HEALTHCARE GROUP, LLC
Practice address
901 Ridge Rd
Roxboro, NC 27573-4511
Phone
(336) 599-0106
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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) 815-3122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

901 Ridge Rd
Roxboro, NC 27573-4511

Mailing address

44 McNeill PLZ
Whiteville, NC 28472-8602

Other names 1

  • Roxboro Healthcare & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200321000039 NC Part A Provider - Skilled Nursing Facility 4587574355 Practice locations: Roxboro, NC

Skilled nursing facility certification: CCN 345311

Legal name
LIBERTY HEALTHCARE GROUP LLC
Doing business as
ROXBORO HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 18, 1989
Last certification
Aug 15, 2024
Beds
140
Ownership / control type
Corporation
Multi-facility organization
Liberty Healthcare
Organization structure
LLCProprietary
Incorporated
Jun 7, 2002 in NC
Enrollment address
901 Ridge Rd
Roxboro, NC 27573-4511
Nursing home name
ROXBORO HEALTHCARE & REHAB CENTER
Affiliated entity
LIBERTY SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Roxboro Healthcare & Rehab CenterCCN 345311
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 18, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14090.0 residents per day on average
Chain
Liberty Senior Living37 facilities in the chain
Penalties (3 years)
2Fines totaling $56,778

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Liberty Healthcare Group LLC119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust Organization, Wilmington, NC 5% Or Greater Indirect Ownership Interest Feb 1, 2020 24%
Jeffrey S. Wilson Individual Corporate DirectorCoo Feb 1, 2020
Operational/Managerial ControlCoo Feb 1, 2020
Liberty Healthcare Group LLC Organization, Wilmington, NC LLC 5% Or Greater Direct Ownership Interest Feb 1, 2020 100%
John Albert McNeill Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 26%
Joseph V Calcutt Individual Operational/Managerial ControlCfo Feb 1, 2020
Long Term Care Management Services LLC Organization, Wilmington, NC LLC Operational/Managerial Control Feb 1, 2020 100%
Ronald Benjamin McNeill Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 26%
John a McNeill Jr 2012 Irrv TR Organization, Wilmington, NC 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.

FacilityTypeRoleSince
Lee County Nursing and Rehabilitation Center, LLCSanford, NC, CCN 345216 Skilled nursing facility Indirect Ownership Interest (100%) Apr 29, 2025
Liberty Commons Nursing and Rehabiltation Center of Lee County LLCSanford, NC, CCN 345532 Skilled nursing facility Indirect Ownership Interest (100%) Jun 6, 2025
Liberty Healthcare Services of Golden Years Nursing Center LLCFalcon, NC, CCN 345367 Skilled nursing facility Indirect Ownership Interest (100%) Apr 1, 2025
Liberty Commons Nursing and Rehabilitation Center of Johnston CountyBenson, NC, CCN 345519 Skilled nursing facility Indirect Ownership Interest (100%) Apr 1, 2025
Three Rivers Health and Rehabillitation CenterWindsor, NC, CCN 345404 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Commons Nursing and Rehabilitation Center of Rowan County, LLCSalisbury, NC, CCN 345503 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, LLCRaleigh, NC, CCN 345202 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Jul 22, 2025
Apr 29, 2025
Liberty Healthcare Services of Southwood Nursing Center LLCClinton, NC, CCN 345472 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Healthcare Services of Mary Gran Nursing Center, LLCClinton, NC, CCN 345218 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Commons Nursing and Rehabilitation Center of Matthews LLCMatthews, NC, CCN 345026 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Sep 29, 2025
Apr 1, 2025
Shoreland Healthcare and Retirement CenterWhiteville, NC, CCN 345397 Skilled nursing facility Adp of the SNF Mar 23, 2026
Liberty Commons Nursing and Rehabilitation Center of the Oaks LLCWinston-Salem, NC, CCN 345284 Skilled nursing facility 5% Or Greater Direct Ownership Interest May 1, 2011
Summerstone Health and RehabKernersville, NC, CCN 345039 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2012
Woodlands Nursing and Rehabilitation CenterFayetteville, NC, CCN 345481 Skilled nursing facility Indirect Ownership Interest (100%) Apr 29, 2025
Liberty Healthcare Group LLCWarrenton, NC, CCN 345240 Skilled nursing facility Indirect Ownership Interest Apr 4, 2025
Liberty Commons Nursing & Rehabilitation Center of Southport LLCSouthport, NC, CCN 345373 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 May 30, 2025
Apr 29, 2025
Parkview Health & Rehab CenterChapel Hill, NC, CCN 345576 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 4, 2025
Liberty Commons Nursing and Rehabilitation Center of Watauga CountyBlowing Rock, NC, CCN 345045 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2019
Louisburg Healthcare and Rehabilitation CenterLouisburg, NC, CCN 345358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Liberty Commons Nursing and Rehabilitation Center of Yadkin County LLCYadkinville, NC, CCN 345167 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Pinehurst Healthcare and Rehabilitation CenterPinehurst, NC, CCN 345370 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 4, 2025
Elizabethtown Healthcare and Rehabilitation CenterElizabethtown, NC, CCN 345210 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Indirect Ownership Interest (100%)		 Mar 31, 2025
Mar 31, 2025
Oak Forest Health and RehabilitationWinston Salem, NC, CCN 345443 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Highland House Rehabilitation and HealthcareFayetteville, NC, CCN 345353 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Sep 30, 2022
Woodhaven Nursing CenterLumberton, NC, CCN 345054 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Nov 20, 2024
Oct 1, 2023
Silver BluffCanton, NC, CCN 345341 Skilled nursing facility Indirect Ownership Interest (100%) Sep 5, 2024
The Preserve at Fairfield GladeCrossville, TN, CCN 445506 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2025
Liberty Home Care II LLCSouthern Pines, NC, CCN 347024 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.

View all 26

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1574640000000",
    "number": "1104471531",
    "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": "901 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734511",
            "telephone_number": "336-599-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-11-25",
        "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": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roxboro Healthcare & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roxboro Healthcare & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.