NPIMap

Organization Active NPI

Liberty Healthcare Group, LLC

Doing business as Liberty Home Care II, LLC

  • Home Health Agency
  • Raeford, NC
National Provider Identifier
1407801749
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0277 Issued in NC
Legal business name
LIBERTY HEALTHCARE GROUP, LLC
Doing business as
Liberty Home Care II, LLC
Practice address
336 S Main St
Raeford, NC 28376-3221
Phone
(910) 875-8198
Fax
(910) 875-8862
NPI assigned
May 24, 2006
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Mr. Ronald Benjamin McNeill
Title
Manager
Phone
(910) 815-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0277 NC Primary

Addresses

Primary practice location

336 S Main St
Raeford, NC 28376-3221

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
3427024MedicaidNC
007CHOtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Liberty Home Care II, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000238 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: Raeford, NC; Southern Pines, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407801749. Details of each certification follow.

Home health agency certification: CCN 347024

Legal name
LIBERTY HEALTHCARE GROUP LLC
Doing business as
LIBERTY HOME CARE II LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 30, 1969
Last certification
Sep 12, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 7, 2002 in NC
Enrollment address
300 W Pennsylvania Avenue
Southern Pines, NC 28387-7045

Other NPIs on the same Medicare enrollment 1

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 CareCCN 347024 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 30, 1969
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
Tax ID family
Liberty Nursing Services 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

Locations

336 S Main St
Raeford, NC 28376
Phone (910) 875-8198

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Sherry Bryant Individual Operational/Managerial ControlOperations Manager Jun 24, 2013
Liberty Healthcare Group LLC Organization, Wilmington, NC 5% Or Greater Direct Ownership Interest Jul 1, 2002
John Albert McNeill Individual 5% Or Greater Direct Ownership Interest Jul 1, 2002 50%
Donna Turlington Individual W-2 Managing EmployeePresident of Home Care and Ho Aug 1, 2023
Liberty Homecare Group, LLC Organization, Wilmington, NC 5% Or Greater Direct Ownership Interest Jul 1, 2002
Ronald Benjamin McNeill Individual 5% Or Greater Direct Ownership Interest Jul 1, 2002 50%

Practitioners & affiliated clinicians

Affiliated clinicians 18

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

View all 18

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": "1233532800000",
    "number": "1407801749",
    "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": "336 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763221",
            "telephone_number": "910-875-8198",
            "fax_number": "910-875-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3427024",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007CH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Home Care II, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.