NPIMap

Organization Active NPI

Liberty Healthcare Group, LLC

Doing business as Liberty Home Care, LLC

  • Home Health Agency
  • Lumberton, NC
National Provider Identifier
1700831369
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1178 Issued in NC
Legal business name
LIBERTY HEALTHCARE GROUP, LLC
Doing business as
Liberty Home Care, LLC
Practice address
705A Wesley Pines Rd
Lumberton, NC 28358-2105
Phone
(910) 738-4512
Fax
(910) 738-4631
NPI assigned
May 23, 2006
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Mr. Anthony J. Zizzamia Jr.
Title
Manager
Phone
(910) 815-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1178 NC Primary

Addresses

Primary practice location

705A Wesley Pines Rd
Lumberton, NC 28358-2105

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
3417001MedicaidNC
007AOtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Liberty Home Care, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20091211000449 NC Part A Provider - Home Health Agency 4587574355 Practice locations: Lumberton, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1700831369. Details of each certification follow.

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
LLCNon-profit
Incorporated
Jan 1, 1994 in NC
Enrollment address
420 Eastwood Rd
Ste 101
Wilmington, NC 28403-1866

Home health agency certification: CCN 347245

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
Nov 17, 2010
Last certification
Mar 23, 2021
Ownership / control type
Proprietary
Organization structure
LLCNon-profit
Incorporated
Jun 7, 2002 in NC
Enrollment address
705B Wesley Pines Rd
Lumberton, NC 28358-2105

Other NPIs on the same Medicare enrollment 10

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 Care, LLCCCN 347001 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 14, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Liberty Home Care II ,LLCCCN 347245 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 17, 2010
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

Locations

705 Wesley Pines Rd
#A
Lumberton, NC 28358
Phone (910) 738-4512

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Kristen Roberson Individual Operational/Managerial ControlHome Health Administrator Mar 21, 2023
Home Care Management Services LLC Organization, Wilmington, NC LLC Operational/Managerial Control Oct 26, 2006
Operational/Managerial Control Feb 14, 2012
John Albert McNeill Individual 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 22, 2009
Donna Turlington Individual W-2 Managing EmployeePresident of Home Care and Hospice Aug 1, 2024
W-2 Managing EmployeePresident of Home Care and Hospice Aug 1, 2023
Liberty Homecare Group, LLC Organization, Wilmington, NC LLC 5% Or Greater Direct Ownership Interest Jun 1, 2007 34%
Operational/Managerial Control Jun 7, 2002
Operational/Managerial Control Feb 14, 2012
Ronald Benjamin McNeill Individual 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 22, 2009
Elizabeth Vause Individual Operational/Managerial ControlHome Health Administrator Sep 13, 2021
Holly Macdonald Individual Operational/Managerial ControlPresident Home Care and Hospice Jul 1, 2019

All facility ownership & control disclosures 29

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

FacilityTypeRoleSince
Lee County Nursing and Rehabilitation Center, LLCSanford, NC, CCN 345216 Skilled nursing facility Indirect Ownership Interest (100%) Apr 29, 2025
Liberty Commons Nursing and Rehabiltation Center of Lee County LLCSanford, NC, CCN 345532 Skilled nursing facility Indirect Ownership Interest (100%) Jun 6, 2025
Liberty Healthcare Services of Golden Years Nursing Center LLCFalcon, NC, CCN 345367 Skilled nursing facility Indirect Ownership Interest (100%) Apr 1, 2025
Liberty Commons Nursing and Rehabilitation Center of Johnston CountyBenson, NC, CCN 345519 Skilled nursing facility Indirect Ownership Interest (100%) Apr 1, 2025
Three Rivers Health and Rehabillitation CenterWindsor, NC, CCN 345404 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Commons Nursing and Rehabilitation Center of Rowan County, LLCSalisbury, NC, CCN 345503 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, LLCRaleigh, NC, CCN 345202 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Jul 22, 2025
Apr 29, 2025
Liberty Healthcare Services of Southwood Nursing Center LLCClinton, NC, CCN 345472 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Healthcare Services of Mary Gran Nursing Center, LLCClinton, NC, CCN 345218 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Commons Nursing and Rehabilitation Center of Matthews LLCMatthews, NC, CCN 345026 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Sep 29, 2025
Apr 1, 2025
Shoreland Healthcare and Retirement CenterWhiteville, NC, CCN 345397 Skilled nursing facility Adp of the SNF Mar 23, 2026
Liberty Commons Nursing and Rehabilitation Center of the Oaks LLCWinston-Salem, NC, CCN 345284 Skilled nursing facility 5% Or Greater Direct Ownership Interest May 1, 2011
Summerstone Health and RehabKernersville, NC, CCN 345039 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2012
Woodlands Nursing and Rehabilitation CenterFayetteville, NC, CCN 345481 Skilled nursing facility Indirect Ownership Interest (100%) Apr 29, 2025
Liberty Healthcare Group LLCWarrenton, NC, CCN 345240 Skilled nursing facility Indirect Ownership Interest Apr 4, 2025
Liberty Commons Nursing & Rehabilitation Center of Southport LLCSouthport, NC, CCN 345373 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 May 30, 2025
Apr 29, 2025
Parkview Health & Rehab CenterChapel Hill, NC, CCN 345576 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 4, 2025
Liberty Commons Nursing and Rehabilitation Center of Watauga CountyBlowing Rock, NC, CCN 345045 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2019
Louisburg Healthcare and Rehabilitation CenterLouisburg, NC, CCN 345358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Liberty Commons Nursing and Rehabilitation Center of Yadkin County LLCYadkinville, NC, CCN 345167 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Pinehurst Healthcare and Rehabilitation CenterPinehurst, NC, CCN 345370 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 4, 2025
Roxboro Healthcare and Rehabilitation CenterRoxboro, NC, CCN 345311 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Elizabethtown Healthcare and Rehabilitation CenterElizabethtown, NC, CCN 345210 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Indirect Ownership Interest (100%)		 Mar 31, 2025
Mar 31, 2025
Oak Forest Health and RehabilitationWinston Salem, NC, CCN 345443 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Highland House Rehabilitation and HealthcareFayetteville, NC, CCN 345353 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Sep 30, 2022
Woodhaven Nursing CenterLumberton, NC, CCN 345054 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Nov 20, 2024
Oct 1, 2023
Silver BluffCanton, NC, CCN 345341 Skilled nursing facility Indirect Ownership Interest (100%) Sep 5, 2024
The Preserve at Fairfield GladeCrossville, TN, CCN 445506 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2025
Liberty Home Care II LLCSouthern Pines, NC, CCN 347024 Home health agency 5% Or Greater Direct Ownership Interest Jul 1, 2002

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1700831369",
    "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": "705A WESLEY PINES RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582105",
            "telephone_number": "910-738-4512",
            "fax_number": "910-738-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "ZIZZAMIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.