Liberty Healthcare Group, LLC
Organization Active NPI Skilled Nursing Facility · Kernersville, NC
NPI 1710244827 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1710244827
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LIBERTY HEALTHCARE GROUP, LLC
- Practice address
- 485 Veterans Way
Kernersville, NC 27284-9903 - Phone
- (336) 767-2750
- Fax
- (336) 767-3862
- NPI assigned
- Apr 13, 2012
- Organization subpart
- No
Authorized official
- Name
- Joe Calcutt
- Title
- Ceo
- Phone
- (910) 815-3122
Corporate family (same tax ID) 24
Facilities with the same owner 30
Practitioners 3
-
Anna Wright, M.D.
-
Dewey Todd Detar, DO
Affiliated clinicians 1
-
Anna Wright, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Summerstone Health and Rehabilitation Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1978
- Medicare certification status
- Active
- Certified beds
- 138 · 126.6 residents per day on average
- Chain
- Liberty Senior Living
- Penalties (3 years)
- 1 · fines totaling $14,511
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0715740 | Liberty Commons of Kernersville Dba | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Skilled nursing facility certification: CCN 345039
- Legal name
- LIBERTY HEALTHCARE GROUP LLC
- Doing business as
- SUMMERSTONE HEALTH AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1978
- Last certification
- Jan 10, 2025
- Beds
- 138
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Liberty Long Term Care, LLC
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 10, 2011 in NC
- Enrollment address
- 485 Veterans Way
Kernersville, NC 27284 - Nursing home name
- SUMMERSTONE HEALTH AND REHABILITATION CENTER
- Affiliated entity
- LIBERTY SENIOR LIVING
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Anthony V Hamric |
Operational/Managerial Control |
Jan 24, 2005 | |
| Shonette Y Cobb |
W-2 Managing Employee |
Oct 21, 2022 | |
| Jeffrey S. Wilson |
Corporate Director |
May 1, 2012 | |
| Operational/Managerial Control | May 1, 2012 | ||
| Liberty Healthcare Group LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2012 | 100% |
| John Albert McNeill |
5% Or Greater Indirect Ownership Interest | May 1, 2012 | 50% |
| W-2 Managing Employee | May 1, 2012 | ||
| Operational/Managerial Control | Mar 10, 2011 | 100% | |
| Joseph V Calcutt |
Corporate Officer |
May 1, 2012 | |
| W-2 Managing Employee | May 1, 2012 | ||
| Liberty Long Term Care LLC |
5% Or Greater Direct Ownership Interest | May 1, 2012 | 100% |
| Penny T. Purifoy |
W-2 Managing Employee | May 1, 2012 | |
| Operational/Managerial Control | May 1, 2012 | ||
| Long Term Care Management Services LLC |
Operational/Managerial Control | May 1, 2012 | |
| Matthew L Bork |
Operational/Managerial Control |
Jan 29, 2007 | |
| Ronald Benjamin McNeill |
5% Or Greater Indirect Ownership Interest | May 1, 2012 | 50% |
| W-2 Managing Employee | May 1, 2012 | ||
| Operational/Managerial Control | Mar 10, 2011 | 100% |
All facility ownership & control disclosures 28
| 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 |
| 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 |
|---|---|---|---|---|
| O20120711000335 | NC | Part a Provider - Skilled Nursing Facility | 4587574355 | Practice locations: Kernersville, NC |
National Provider Directory
- Tax ID family
- Liberty Healthcare Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NC | Yes | |
| Prosthetic/Orthotic Supplier | 335E00000X | NH0439 | NC |
Addresses
Primary practice location
485 Veterans Way
Kernersville, NC 27284-9903
Mailing address
44 McNeill PLZ
Whiteville, NC 28472-8602
Phone (910) 642-0224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405039 | Medicaid | NC |
Other names
- Summerstone Health and Rehabilitation Center
- Liberty Commons Nursing & Rehabilitation Center of Springwood, LLC
- Liberty Commons of Kernersville, LLC
Other providers in Kernersville, NC
- Mellisa Leone
- Matthew Evan Levy
- Kayla Bailey Lewallen
- Anderia Shantel Lewis
- Roy Otis Lewter
- Jazmine Simone Liboon
- Lifeworks Behavioral Solutions
- Liggins Family Care Kernersville Center
- Grace Ellen Ligon
- Lindsey M Metcalf DDS PLLC
All providers in Kernersville, NC · Skilled Nursing Facility 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 Nov 20, 2020. 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.