Liberty Healthcare Group, LLC
Organization Active NPI Home Health Agency · Jacksonville, NC
NPI 1669427951 · NPPES record last updated Mar 28, 2013
Key facts
- NPI
- 1669427951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HC0316 (NC)
- Legal business name
- LIBERTY HEALTHCARE GROUP, LLC
- Practice address
- 1700 Country Club Rd
Jacksonville, NC 28546-6004 - Phone
- (910) 346-4800
- Fax
- (910) 346-5870
- NPI assigned
- May 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony Joseph Zizzamai Jr., RN
- Title
- President/Executive Director
- Phone
- (910) 815-3122
Other NPIs on the same Medicare enrollment 10
Facilities with the same owner 21
Affiliated clinicians 28
-
Shonda Michelle Asaad, M.D.
-
Sandra S Brannin, DO
-
Ayman Gebrail, M.D.
-
Jonathan Steele Hines, M.D.
-
John Brian Jasper II, M.D.
-
Dean Karras, MD
-
Andre John Leonard, M.D.
-
Benjamin C Mozie, MD
-
Mary Kathryn Rudyk, M.D.
-
Jessica Lauren Swann, PHYSICIAN ASSISTANT
-
Brian Richard Webster, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Liberty Home Care LLC
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- Proprietary
- Certified
- Nov 3, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare Care Compare: Home health agency
- Listed as
- Liberty Home Care, LLC
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Jul 14, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0856831 | Liberty Home Care, LLC - Jacksonville | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
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
- LLC · Non-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
- LLC · Proprietary
- Incorporated
- Jun 7, 2002 in NC
- Enrollment address
- 445 Western Blvd
Ste E
Jacksonville, NC 28546-6852
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Kristen Roberson |
Operational/Managerial Control |
Mar 21, 2023 | |
| Home Care Management Services LLC |
Operational/Managerial Control | Oct 26, 2006 | |
| John Albert McNeill |
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 |
W-2 Managing Employee |
Aug 1, 2024 | |
| W-2 Managing Employee |
Aug 1, 2023 | ||
| Liberty Homecare Group, LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 2007 | 34% |
| Operational/Managerial Control | Jun 7, 2002 | ||
| Ronald Benjamin McNeill |
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 |
Operational/Managerial Control |
Jul 3, 2023 |
All facility ownership & control disclosures 29
| Facility | Type | Role | Since |
|---|---|---|---|
| Lee County Nursing and Rehabilitation Center, LLC |
Skilled nursing facility | Indirect Ownership Interest (100%) | Apr 29, 2025 |
| Liberty Commons Nursing and Rehabiltation Center of Lee County LLC |
Skilled nursing facility | Indirect Ownership Interest (100%) | Jun 6, 2025 |
| Liberty Healthcare Services of Golden Years Nursing Center LLC |
Skilled nursing facility | Indirect Ownership Interest (100%) | Apr 1, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Johnston County |
Skilled nursing facility | Indirect Ownership Interest (100%) | Apr 1, 2025 |
| Three Rivers Health and Rehabillitation Center |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jun 25, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Rowan County, LLC |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Indirect Ownership Interest (100%) |
Apr 4, 2025 Apr 4, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Wake County, LLC |
Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
Jul 22, 2025 Apr 29, 2025 |
| Liberty Healthcare Services of Southwood Nursing Center LLC |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jun 25, 2025 |
| Liberty Healthcare Services of Mary Gran Nursing Center, LLC |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jun 25, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Matthews LLC |
Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
Sep 29, 2025 Apr 1, 2025 |
| Shoreland Healthcare and Retirement Center |
Skilled nursing facility | Adp of the SNF | Mar 23, 2026 |
| Liberty Commons Nursing and Rehabilitation Center of the Oaks LLC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest | May 1, 2011 |
| Summerstone Health and Rehab |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | May 1, 2012 |
| Woodlands Nursing and Rehabilitation Center |
Skilled nursing facility | Indirect Ownership Interest (100%) | Apr 29, 2025 |
| Liberty Healthcare Group LLC |
Skilled nursing facility | Indirect Ownership Interest | Apr 4, 2025 |
| Liberty Commons Nursing & Rehabilitation Center of Southport LLC |
Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
May 30, 2025 Apr 29, 2025 |
| Parkview Health & Rehab Center |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 4, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Watauga County |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2019 |
| Louisburg Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
| Liberty Commons Nursing and Rehabilitation Center of Yadkin County LLC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
| Pinehurst Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Apr 4, 2025 |
| Roxboro Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2020 |
| Elizabethtown Healthcare and Rehabilitation Center |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Indirect Ownership Interest (100%) |
Mar 31, 2025 Mar 31, 2025 |
| Oak Forest Health and Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Highland House Rehabilitation and Healthcare |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Sep 30, 2022 |
| Woodhaven Nursing Center |
Skilled nursing facility | Adp of the SNF Indirect Ownership Interest (100%) |
Nov 20, 2024 Oct 1, 2023 |
| Silver Bluff |
Skilled nursing facility | Indirect Ownership Interest (100%) | Sep 5, 2024 |
| The Preserve at Fairfield Glade |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Oct 1, 2025 |
| Liberty Home Care II LLC |
Home health agency | 5% Or Greater Direct Ownership Interest | Jul 1, 2002 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Practice locations: Jacksonville, NC; Morehead City, NC |
National Provider Directory
Locations
1700 Country Club Rd
Jacksonville, NC 28546
Phone (910) 346-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC0316 | NC | Yes |
Addresses
Primary practice location
1700 Country Club Rd
Jacksonville, NC 28546-6004
Mailing address
2334 S 41St St
Wilmington, NC 28403-5502
Phone (910) 815-3122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007A | Other | NC | BLUE CROSS BLUE SHIELD |
| 3417001 | Medicaid | NC |
Other names
- Liberty Home Care, LLC
Other providers in Jacksonville, NC
- Nora Rebecca Lewis
- Vanessa Stewart Lewis
- LHCG L, LLC
- Kurt Rommel Libed
- Liberty Healthcare Group LLC
- Liberty Healthcare Group, LLC
- Liberty Nursing Services, LLC
- Janelle Libretto
- Erik James Lickteig
- Lifequest Disabilities Services
All providers in Jacksonville, NC · Home Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.