Liberty Healthcare Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIBERTY HEALTHCARE GROUP, LLC

Practice address

621 Chestnut Ridge Pkwy
Blowing Rock, NC 28605-8962

Phone

(828) 386-3300

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Addresses

Other names 1

• Liberty Commons Nursing & Rehabilitation Center of Watauga County, LLC Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345045

Legal name

LIBERTY HEALTHCARE GROUP LLC

Doing business as

LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF WATAUGA COUNTY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 15, 1968

Last certification

Jul 3, 2024

Beds

112 (92 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Liberty Healthcare

Organization structure

LLCProprietary

Incorporated

Jun 7, 2002 in NC

Enrollment address

621 Chestnut Ridge Pkwy
Blowing Rock, NC 28605-8962

Nursing home name

THE FOLEY CENTER AT CHESTNUT RIDGE

Affiliated entity

LIBERTY SENIOR LIVING

Listed as

The Foley Center at Chestnut RidgeCCN 345045

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 15, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9280.6 residents per day on average

Chain

Liberty Senior Living37 facilities in the chain

Penalties (3 years)

1Fines totaling $17,114

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Southport, NC
  • NPI 1548770423
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Sanford, NC
  • NPI 1598808065
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Burlington, NC
  • NPI 1629111364
  NPD tax ID
• Liberty Healthcare Group LLC

  • Community Based Hospice Care Agency
  • Supply, NC
  • NPI 1629156872
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Benson, NC
  • NPI 1669425401
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Salisbury, NC
  • NPI 1710021779
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Clinton, NC
  • NPI 1720033475
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Fayetteville, NC
  • NPI 1730817776
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Hampstead, NC
  • NPI 1538234828
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Pinehurst, NC
  • NPI 1548696834
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Assisted Living Facility
  • Louisburg, NC
  • NPI 1578118089
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Elizabethtown, NC
  • NPI 1588219828
  NPD tax ID

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.

All facility ownership & control disclosures 28

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 26

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Liberty Commons Nursing and Rehabilitation Center of Highland

  • 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

  CMS ownership
• Liberty Commons of Robeson County

  • Skilled Nursing Facility
  • Lumberton, NC
  • NPI 1053090092

  John a McNeill Jr 2012 Irrv TR, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  • 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

  CMS ownership
• Liberty Healthcare Group LLC

  • Assisted Living Facility
  • Weldon, NC
  • NPI 1164476636

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Raleigh, NC
  • NPI 1255385720

  Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Burlington, NC
  • NPI 1326089616

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Matthews, NC
  • NPI 1336193754

  Long Term Care Management Services LLC, Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust

  CMS ownership
• Liberty Healthcare Group LLC

  • 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

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Whiteville, NC
  • NPI 1538113014

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Southport, NC
  • NPI 1548770423

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • 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

  CMS ownership
• Liberty Healthcare Group LLC

  • 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

  CMS ownership

Practitioners 1

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

• Kevin R Clark, DO

  • General Practice Physician
  • Hickory, NC
  • NPI 1053373399
  NPD (past)

Affiliated clinicians 1

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

• Kevin R Clark, DO

  • General Practice Physician
  • Hickory, NC
  • NPI 1053373399

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1629535455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CHESTNUT RIDGE PKWY",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286058962",
            "telephone_number": "828-386-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CHESTNUT RIDGE PKWY",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286058962",
            "telephone_number": "828-386-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "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": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "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": "Liberty Commons Nursing & Rehabilitation Center of Watauga County, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Liberty Commons Nursing & Rehabilitation Center of Watauga County, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melina Hite, PHARMD
• Joseph McKendrie Jenkins, MD
• Amanda Lynn Kincaid
• Richard Walter Kitchell, DDS
• Lecroy Graham & McKinneydds PLLC
• Shayla Mann
• Leanne Hope McAlexander, PA-C
• Brittany Moore Parker
• Physician Care Direct, LLC
• Lauren Power, LMFT

• Skilled Nursing Facility in Blowing Rock, NC
• Providers in Blowing Rock, 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 10, 2021; 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.

Verify at the official NPI Registry.