Liberty Commons Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0569 Issued in NC

Legal business name

LIBERTY COMMONS NURSING CENTER INC

Practice address

121 Racine Dr
Wilmington, NC 28403-8705

Phone

(910) 452-4070

Fax

(910) 452-1864

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Joe Calcutt

Title

Cfo

Phone

(910) 332-1793

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Liberty Commons Nursing and Rehabilitation Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty Commons Nursing Center Inc

  • Assisted Living Facility
  • Wilmington, NC
  • NPI 1083757561
  NPD tax ID
• Liberty Commons Nursing Center Inc

  • Assisted Living Facility
  • Wilmington, NC
  • NPI 1861446270
  NPD tax ID

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447394408",
    "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": "910-332-8155",
            "fax_number": "910-642-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RACINE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038705",
            "telephone_number": "910-452-4070",
            "fax_number": "910-452-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COMMONS NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-332-1793"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340609F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leyde Diabetic Supplies
• LG Nutrition LLC
• LH Langley, PLLC
• Jamie Li
• Liberty Commons Nursing Center Inc
• Liberty Commons Nursing Center Inc
• Liberty Healthcare Group, LLC
• Liberty Healthcare Group, LLC
• Liberty Healthcare Group, LLC
• Liberty Medical Specialties Inc

• Skilled Nursing Facility in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.