Liberty Healthcare Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIBERTY HEALTHCARE GROUP, LLC

Practice address

44 McNeill PLZ
Whiteville, NC 28472-8602

Phone

(910) 642-0224

NPI assigned

Apr 14, 2016

Last updated

Sep 29, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

LIBERTY HEALTHCARE GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Joe V Calcutt

Title

Cfo

Phone

(910) 815-3122

Specialties & licenses 2

Addresses

Other names 1

• Carolina Bay Healthcare Center of Wilmington, LLC Other name

Part of

Liberty Nursing Services LLC

Locations

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1639523764",
    "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",
            "telephone_number": "910-642-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-642-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Bay Healthcare Center of Wilmington, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Liberty Healthcare Group (Liberty Commons Nsg & Rehab of Davie Co.)
• Liberty Healthcare Group LLC (Liberty Commons NRC of Columbus County)
• Liberty Healthcare Group LLC
• Liberty Healthcare Group LLC (Liberty Commons Nursing and Rehabilitation Center of Columbus County)
• Liberty Healthcare Group, LLC (Liberty Home Care , LLC)
• Liberty Healthcare Group, LLC (Liberty Home Care, LLC)
• Liberty Healthcare Group, LLC
• Liberty Medical Care Services, LLC
• Liberty Medical Specialties Inc
• Liberty Medical Specialties, Inc

• Skilled Nursing Facility in Whiteville, NC
• Providers in Whiteville, 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 Sep 29, 2016; 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.