NPIMap

Organization Active NPI

Liberty Healthcare Group, LLC

Doing business as Liberty Home Care, LLC

  • Home Health Agency
  • Morehead City, NC
National Provider Identifier
1235184607
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1353 Issued in NC
Legal business name
LIBERTY HEALTHCARE GROUP, LLC
Doing business as
Liberty Home Care, LLC
Practice address
1206 Arendell St
Morehead City, NC 28557-4145
Phone
(252) 247-4748
Fax
(252) 247-2445
NPI assigned
May 24, 2006
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Mr. Anthony Joseph Zizzamia, RN
Title
President
Phone
(910) 815-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1353 NC Primary

Addresses

Primary practice location

1206 Arendell St
Morehead City, NC 28557-4145

Mailing address

2334 S 41St St
Wilmington, NC 28403-5502
Phone (910) 815-3122

Other identifiers 2

IdentifierTypeStateIssuer
007AOtherNCBLUE CROSS BLUE SHIELD
3417001MedicaidNC

Other names 1

  • Liberty Home Care, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060501000069 NC Part A Provider - Home Health Agency 4587574355 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC; Hampstead, NC
O20091211000237 NC Part A Provider - Home Health Agency 4587574355 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, NC; Morehead City, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235184607. Details of each certification follow.

Home health agency certification: CCN 347001

Legal name
LIBERTY HEALTHCARE GROUP LLC
Doing business as
LIBERTY HOME CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 14, 1966
Last certification
Apr 25, 2019
Ownership / control type
Proprietary
Organization structure
LLCNon-profit
Incorporated
Jan 1, 1994 in NC
Enrollment address
420 Eastwood Rd
Ste 101
Wilmington, NC 28403-1866

Home health agency certification: CCN 347246

Legal name
LIBERTY HEALTHCARE GROUP LLC
Doing business as
LIBERTY HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 3, 2010
Last certification
Nov 16, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 7, 2002 in NC
Enrollment address
445 Western Blvd
Ste E
Jacksonville, NC 28546-6852

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Liberty Home Care LLCCCN 347246 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 3, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Liberty Home Care, LLCCCN 347001 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 14, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Kristen Roberson Individual Operational/Managerial ControlHome Health Administrator Mar 21, 2023
Home Care Management Services LLC Organization, Wilmington, NC LLC Operational/Managerial Control Oct 26, 2006
John Albert McNeill Individual 5% Or Greater Direct Ownership Interest Jun 1, 2007 33%
5% Or Greater Indirect Ownership Interest Oct 1, 2008
5% Or Greater Direct Ownership Interest Oct 1, 2009 50%
Donna Turlington Individual W-2 Managing EmployeePresident of Home Care and Hospice Aug 1, 2024
W-2 Managing EmployeePresident of Home Care and Hospice Aug 1, 2023
Liberty Homecare Group, LLC Organization, Wilmington, NC LLC 5% Or Greater Direct Ownership Interest Jun 1, 2007 34%
Operational/Managerial Control Jun 7, 2002
Ronald Benjamin McNeill Individual 5% Or Greater Direct Ownership Interest Oct 1, 2008 33%
5% Or Greater Indirect Ownership Interest Oct 1, 2008
Corporate Director May 1, 2006
5% Or Greater Direct Ownership Interest Oct 1, 2008 50%
Sami Jo Taglieri Individual Operational/Managerial ControlHome Health Administrator Jul 3, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 28

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1235184607",
    "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": "1206 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574145",
            "telephone_number": "252-247-4748",
            "fax_number": "252-247-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "ZIZZAMIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.